Vascular Institute of North Texas, PLLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

VASCULAR INSTITUTE OF NORTH TEXAS, PLLC

Practice address

1305 Airport Fwy Ste 103
Bedford, TX 76021-6603

Phone

(682) 647-6500

Fax

(469) 320-1268

NPI assigned

Jul 18, 2019

Organization subpart

No

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

Authorized official

Name

Tracy L BassoNPI 1235135427

Title

Owner

Phone

(682) 647-6500

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JFFCCD

Practitioners 4

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

• Johnna Kay Jones, D.O.

  • Vascular Surgery Physician
  • Fort Worth, TX
  • NPI 1114997186
  Medicare reassignment NPD
• Colin J Kugelmann, CRNP

  • Family Nurse Practitioner
  • Pasadena, TX
  • NPI 1366003246
  Medicare reassignment NPD
• Inder M Singh, MD, MS

  • Interventional Cardiology Physician
  • Sacramento, CA
  • NPI 1417117581

  TX

  Medicare reassignment NPD
• Tracy Lee Basso, DPM

  • Podiatrist
  • Davis, CA
  • NPI 1235135427
  NPD (past) Authorized official

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1265085229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 ANDERSON RD STE 4",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956163505",
            "telephone_number": "682-647-6500",
            "fax_number": "469-320-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 AIRPORT FWY STE 103",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216603",
            "telephone_number": "682-647-6500",
            "fax_number": "469-320-1268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 W Colorado Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752111900",
            "country_code": "US",
            "telephone_number": "682-647-6500",
            "fax_number": "469-320-1268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 8th Ave Ste 116",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761042606",
            "country_code": "US",
            "telephone_number": "682-647-6500",
            "fax_number": "469-320-1268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4425 Plano Pkwy Ste 1702",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750105038",
            "country_code": "US",
            "telephone_number": "682-647-6500",
            "fax_number": "469-320-1268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VASCULAR INSTITUTE OF NORTH TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "BASSO",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-647-6500"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Van Audenhove, COTA
• Michele D Van de Mae, M.D.
• Toni J Vannoy, M.S. CCC-SLP
• Gloria Lizbeth Vargas
• Prachi Vartikar, DMD
• Sunita Vashisth, NP
• Christopher Adam Vasquez, PTA
• Robert A Vasquez, D.C.
• Sarah Vaughan
• Veerabhadra PLLC

• Vascular Surgery Physician in Bedford, TX
• Providers in Bedford, TX by specialty
• Vascular Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.