Organization Active NPI

Vascular Institute of Chattanooga, PLLC

  • Vascular & Interventional Radiology Physician
  • Chattanooga, TN
National Provider Identifier
1205208352
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD37354 Issued in TN
Legal business name
VASCULAR INSTITUTE OF CHATTANOOGA, PLLC
Practice address
2358 Lifestyle Way Ste 100
Chattanooga, TN 37421-4907
Phone
(423) 602-2750
Fax
(423) 602-2762
NPI assigned
Oct 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Christopher J Lesar, M.D.NPI 1285628917
Title
Organizer
Phone
(423) 602-2750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0204X MD37354 TN Primary

Addresses

Primary practice location

2358 Lifestyle Way Ste 100
Chattanooga, TN 37421-4907

Mailing address

2358 Lifestyle Way Ste 100
Chattanooga, TN 37421-4907
Phone (423) 602-2750

Other practice location 1

4312 Holiday Inn Express Way NW Ste 105
Cleveland, TN 37312-1469
Phone (423) 602-2750

Other practice location 2

4622 Battlefield Pkwy
Ringgold, GA 30736-8004
Phone (423) 602-2750

Other practice location 3

7693 Rhea County Hwy Ste 9
Dayton, TN 37321-6082
Phone (423) 602-2750

Other practice location 4

980 Highway 28 Ste 101A
Jasper, TN 37347-3696
Phone (423) 602-2750

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VIC@direct.vic.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20151207001927 TN Part B Supplier - Clinic/Group Practice 1658671052 Receives reassigned benefits from 19 practitioners
Practice locations: Chattanooga, TN; Cleveland, TN; Dayton, TN; Hixson, TN; Jasper, TN
O20200204000879 GA Part B Supplier - Clinic/Group Practice 1658671052 Receives reassigned benefits from 16 practitioners
Practice locations: Ringgold, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2109028Vascular Institute of Chattanooga2358 Lifestyle Way, Suite 100, Chattanooga, TN 37421Certificate of waiverFeb 17, 2028
44D2185712Vascular Institute4312 Holiday Inn Express NW Suite 105, Cleveland, TN 37312Certificate of waiverJun 7, 2028

National Provider Directory

National Provider Directory

Locations

4622 Battlefield Pkwy
Ringgold, GA 30736

102 County Line Rd W
Ste B
Westerville, OH 43082

6031 Shallowford Rd
Ste 117
Chattanooga, TN 37421
Phone (423) 495-9581

2333 McCallie Ave
Ste 309
Chattanooga, TN 37404

2358 Lifestyle Way
Ste 100
Chattanooga, TN 37421
Phone 4236022750104

7693 Rhea County Hwy
Ste 9
Dayton, TN 37321
Phone (423) 602-2767

7693 Rhea County Hwy
Dayton, TN 37321
Phone (423) 594-8700

980 Highway 28
Ste 101A
Jasper, TN 37347

Interoperability endpoints

  • Direct secure messaging: vic@direct.vic.nextgenshare.com

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1205208352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2358 LIFESTYLE WAY STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214907",
            "telephone_number": "423-602-2750",
            "fax_number": "423-602-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2358 LIFESTYLE WAY STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214907",
            "telephone_number": "423-602-2750",
            "fax_number": "423-602-2762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4312 Holiday Inn Express Way NW Ste 105",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373121469",
            "country_code": "US",
            "telephone_number": "423-602-2750",
            "fax_number": "423-602-2762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4622 Battlefield Pkwy",
            "address_purpose": "LOCATION",
            "city": "Ringgold",
            "state": "GA",
            "postal_code": "307368004",
            "country_code": "US",
            "telephone_number": "423-602-2750",
            "fax_number": "423-602-2762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7693 Rhea County Hwy Ste 9",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "TN",
            "postal_code": "373216082",
            "country_code": "US",
            "telephone_number": "423-602-2750",
            "fax_number": "423-602-2762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "980 Highway 28 Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "TN",
            "postal_code": "373473696",
            "country_code": "US",
            "telephone_number": "423-602-2750",
            "fax_number": "423-602-2762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VASCULAR INSTITUTE OF CHATTANOOGA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "LESAR",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "423-602-2750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TN",
            "license": "MD37354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VIC@direct.vic.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2358 Lifestyle Way Ste 100",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374214907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.