Active NPI
Vascular Surgical Associates
- Vascular Surgery Physician
- Tempe, AZ
National Provider Identifier
1265759484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 9436
- Legal business name
- VASCULAR SURGICAL ASSOCIATES
- Practice address
- 2055 East Southern Avenue
Suite a
Tempe, AZ 85282-7507 - Phone
- (480) 440-2052
- NPI assigned
- Apr 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dilip K Bobra, M.D.
- Title
- President
- Phone
- (480) 839-2682
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 9436 | AZ | Primary |
Addresses
Primary practice location
2055 East Southern Avenue
Suite a
Tempe, AZ 85282-7507
Mailing address
2072 E. la Vieve Lane
Tempe, AZ 85284-3515
Phone (480) 839-2682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100504000844 | AZ | Part B Supplier - Clinic/Group Practice | 5698803146 |
Receives reassigned benefits from 1 practitioner Practice locations: Chandler, AZ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Registered Nurse
- Tempe, AZ
- NPI 1912720343
-
- General Practice Registered Nurse
- Tempe, AZ
- NPI 1215750815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306800000000",
"number": "1265759484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2072 E. LA VIEVE LANE",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852843515",
"telephone_number": "480-839-2682",
"fax_number": "480-839-2682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 EAST SOUTHERN AVENUE",
"address_2": "SUITE A",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827507",
"telephone_number": "480-440-2052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VASCULAR SURGICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-28",
"last_updated": "2011-05-31",
"status": "A",
"authorized_official_last_name": "BOBRA",
"authorized_official_first_name": "DILIP",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-839-2682",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "AZ",
"license": "9436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.