Organization Active NPI

Premier Vascular Institute LLC

  • Medical Specialty Clinic/Center
  • Altamonte Springs, FL
National Provider Identifier
1225911753
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
PREMIER VASCULAR INSTITUTE LLC
Practice address
661 E Altamonte Dr Ste 213
Altamonte Springs, FL 32701-5102
Phone
(407) 347-2982
NPI assigned
Jul 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Mohammad Nabeel AbbasiNPI 1629368030
Title
Owner
Phone
(516) 776-2269

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
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

661 E Altamonte Dr Ste 213
Altamonte Springs, FL 32701-5102

Mailing address

661 E Altamonte Dr Ste 213
Altamonte Springs, FL 32701-5102
Phone (407) 347-2982

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250915001516 FL Part B Supplier - Clinic/Group Practice 6800399882 Receives reassigned benefits from 1 practitioner
Practice locations: Altamonte Springs, FL; Lake Mary, FL

National Provider Directory

National Provider Directory

Locations

661 E Altamonte Dr
Ste 213
Altamonte Springs, FL 32701
Phone (407) 347-2982

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1225911753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR STE 213",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015102",
            "telephone_number": "407-347-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR STE 213",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015102",
            "telephone_number": "407-347-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER VASCULAR INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "ABBASI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "NABEEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-776-2269"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.