Western Vascular Institute PLLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

WESTERN VASCULAR INSTITUTE PLLC

Practice address

7165 E University Dr Ste 183
Mesa, AZ 85207-6415

Phone

(480) 668-5000

Fax

(480) 668-5065

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Jill M Tom

Title

Credentialing Officer

Phone

(480) 668-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Western Vascular Institute PLLC

  • Vascular Surgery Physician
  • Mesa, AZ
  • NPI 1760426001

  O20050713001097

  Same enrollment

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Mountain Vista Medical Center LP

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1235212721

  Member Of

  NPD member
• Mountain Vista Medical Center LP

  • Psychiatric Hospital Unit
  • Mesa, AZ
  • NPI 1902162639

  Member Of

  NPD member

Locations

Practitioners 12

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.

• Adam William Calarese, M.D.

  • Vascular Surgery Physician
  • Surprise, AZ
  • NPI 1821330440
  NPD
• Hayley N Chamberlain, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Mesa, AZ
  • NPI 1811884448
  NPD
• Jennifer Lee Culbert, NP

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1952985889
  NPD
• Daniel S Krcelic, M.D.

  • Vascular Surgery Physician
  • Mesa, AZ
  • NPI 1114289774
  NPD
• Dawn Marie Olsen, D.O.

  • Vascular Surgery Physician
  • Phoenix, AZ
  • NPI 1902807852
  NPD
• Cynthia Ann Peters, CRNFA, FNP-C

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1699771659
  NPD
• Julio A Rodriguez-Lopez, MD

  • Vascular Surgery Physician
  • Phoenix, AZ
  • NPI 1932100880
  NPD
• Jessica Sachs, FNP-BC

  • Nurse Practitioner
  • Mesa, AZ
  • NPI 1932068632
  NPD
• Shishir Shah, DO

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1083663306
  NPD
• Henry S Tarlian Jr., M.D.

  • Vascular Surgery Physician
  • Mesa, AZ
  • NPI 1346215589
  NPD
• Mitar Vranic, D.O.

  • Vascular Surgery Physician
  • Mesa, AZ
  • NPI 1043285299
  NPD
• Shir Tay, MD

  • Vascular Surgery Physician
  • Mesa, AZ
  • NPI 1700454170
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1265521181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7165 E UNIVERSITY DR STE 187",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852076415",
            "telephone_number": "480-668-5000",
            "fax_number": "480-584-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7165 E UNIVERSITY DR STE 183",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852076415",
            "telephone_number": "480-668-5000",
            "fax_number": "480-668-5065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 W Highway 287",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AZ",
            "postal_code": "851328170",
            "country_code": "US",
            "telephone_number": "480-668-5000",
            "fax_number": "480-668-5065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "903 E State Highway 260",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "AZ",
            "postal_code": "855414966",
            "country_code": "US",
            "telephone_number": "480-668-5000",
            "fax_number": "480-668-5065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WESTERN VASCULAR INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "TOM",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING OFFICER",
        "authorized_official_telephone_number": "480-668-5000"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "414258",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard C Westergard, DDS
• Western Dental of Arizona, Inc.
• Western Dental Services, Inc.
• Western Med Group LLC
• Western Medicine, Inc.
• Western Vascular Institute PLLC
• Kim Chyrene Weston, RN
• Michael Todd Westover, LMT
• Wevolve LLC
• Scott H Wexler, D.M.D

• Vascular Surgery Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Vascular Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.