Organization Active NPI

Ally Vascular and Pain Centers, PLLC

  • Vascular & Interventional Radiology Physician
  • San Antonio, TX
National Provider Identifier
1245005453
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
ALLY VASCULAR AND PAIN CENTERS, PLLC
Practice address
603 E Amber St Ste 101
San Antonio, TX 78221-2456
Phone
(210) 660-5040
Fax
(210) 660-5045
NPI assigned
Nov 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Sandeep Rao, MD
Title
Owner
Phone
(614) 302-3561

Specialties & licenses 1

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

Addresses

Primary practice location

603 E Amber St Ste 101
San Antonio, TX 78221-2456

Mailing address

2222 W Pinnacle Peak Rd Ste 260
Phoenix, AZ 85027-1224
Phone (480) 626-1746

Other practice location 1

603 E Amber St Ste 103
San Antonio, TX 78221-2456
Phone (210) 660-5040

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1245005453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W PINNACLE PEAK RD STE 260",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850271224",
            "telephone_number": "480-626-1746",
            "fax_number": "480-626-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E AMBER ST STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782212456",
            "telephone_number": "210-660-5040",
            "fax_number": "210-660-5045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 E Amber St Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782212456",
            "country_code": "US",
            "telephone_number": "210-660-5040",
            "fax_number": "210-660-5045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLY VASCULAR AND PAIN CENTERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-302-3561",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.