Vascular Center of the Midwest (VCM), LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

VASCULAR CENTER OF THE MIDWEST (VCM), LLC

Practice address

3085 Woodman Dr Ste 320
Dayton, OH 45420-1171

Phone

(937) 795-1090

Fax

(937) 795-1145

NPI assigned

Mar 10, 2021

Organization subpart

No

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

Authorized official

Name

Shankar M SundaramNPI 1730138892

Title

President

Phone

(858) 829-4072

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23377/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Shankar M Sundaram, MD

  • Vascular Surgery Physician
  • Dayton, OH
  • NPI 1730138892
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1265017446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 PARK RD",
            "city": "OAKWOOD",
            "state": "OH",
            "postal_code": "454193001",
            "telephone_number": "858-829-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 WOODMAN DR STE 320",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454201171",
            "telephone_number": "937-795-1090",
            "fax_number": "937-795-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR CENTER OF THE MIDWEST (VCM), LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "SUNDARAM",
        "authorized_official_first_name": "SHANKAR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-829-4072"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H868720",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia Vanzandt
• Cheryl P Vargas, M.D.
• Sarena Renee Vargo, CRNA
• Indu Varier, M.D.
• Omar Avram Varise
• Dominic John Vase, DO
• Andrew Vashchenko
• Azeem Z. Vasi, D.O.
• Teresa Vaughan-Price, PEER SUPPORT
• Elenora Vaughan

• Medical Specialty Clinic/Center in Dayton, OH
• Providers in Dayton, OH by specialty
• Medical Specialty Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.