Organization Active NPI

Cardiovascular Consultants LTD

Doing business as Desert Vein & Vascular Institute

  • Vascular & Interventional Radiology Physician
  • Peoria, AZ
National Provider Identifier
1215509989
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
CARDIOVASCULAR CONSULTANTS LTD
Doing business as
Desert Vein & Vascular Institute
Practice address
14155 N 83Rd Ave Ste 136
Peoria, AZ 85381-5652
Phone
(623) 847-3884
Fax
(623) 404-3805
NPI assigned
Jul 13, 2021
Last updated
Jul 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Andrei Damian, MDNPI 1679579346
Title
President , Ceo
Phone
(602) 867-8644

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU
Vascular & Interventional Radiology Physician 2085R0204X NU Primary

Addresses

Primary practice location

14155 N 83Rd Ave Ste 136
Peoria, AZ 85381-5652

Mailing address

3805 E Bell Rd Ste 3100
Phoenix, AZ 85032-2136
Phone (602) 494-3656

Other names 1

  • Desert Vein & Vascular Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040504000928 AZ Part B Supplier - Clinic/Group Practice 3577551084 Receives reassigned benefits from 33 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Scottsdale, AZ; Phoenix, AZ; Glendale, AZ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3642 W Anthem Way
Ste C108
Anthem, AZ 85086

36889 N Tom Darlington Dr
Ste A4
Carefree, AZ 85377
Phone (480) 488-9220

13620 N Saguaro Blvd
#58
Fountain Hills, AZ 85268
Phone (480) 836-8703

5422 W Thunderbird Rd
Ste 8
Glendale, AZ 85306
Phone (602) 978-0698

5620 W Thunderbird Rd
Ste D3
Glendale, AZ 85306
Phone (602) 562-9800

5620 W Thunderbird Rd
Ste E4
Glendale, AZ 85306
Phone (602) 296-7224

606 N Country Club Dr
Ste 1
Mesa, AZ 85201
Phone (480) 969-3511

14155 N 83rd Ave
Ste 136
Peoria, AZ 85381
Phone (623) 847-3884

26224 N Tatum Blvd
Ste 15B
Phoenix, AZ 85050
Phone (480) 473-1083

3805 E Bell Rd
Ste 3100
Phoenix, AZ 85032
Phone (602) 494-3656

50 E Dunlap Ave
Ste 101
Phoenix, AZ 85020
Phone (602) 678-5001

6036 N 19th Ave
Ste 312
Phoenix, AZ 85015
Phone (602) 246-5570

10293 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 747-6535

33755 N Scottsdale Rd
Ste 120
Scottsdale, AZ 85266
Phone (480) 595-8900

3501 N Scottsdale Rd
Ste 348
Scottsdale, AZ 85251
Phone (480) 874-0771

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1215509989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 E BELL RD STE 3100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322136",
            "telephone_number": "602-494-3656",
            "fax_number": "602-867-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14155 N 83RD AVE STE 136",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815652",
            "telephone_number": "623-847-3884",
            "fax_number": "623-404-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR CONSULTANTS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "DAMIAN",
        "authorized_official_first_name": "ANDREI",
        "authorized_official_title_or_position": "PRESIDENT , CEO",
        "authorized_official_telephone_number": "602-867-8644",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Vein & Vascular Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.