Organization Active NPI

DFW Vascular Group LLP

  • Vascular Surgery Physician
  • Desoto, TX
National Provider Identifier
1467585786
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
DFW VASCULAR GROUP LLP
Practice address
2801 Bolton Boone Dr Ste 105
Desoto, TX 75115-2041
Phone
(972) 296-2122
NPI assigned
Mar 14, 2007
Last updated
Aug 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Joseph M Caruso, MDNPI 1619901584
Title
Partner
Phone
(214) 946-5165

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)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

2801 Bolton Boone Dr Ste 105
Desoto, TX 75115-2041

Mailing address

2801 Bolton Boone Dr Ste 105
Desoto, TX 75115-2041
Phone (972) 296-2122

Other practice location 1

515 W Mayfield Rd Ste 416
Arlington, TX 76014-2085
Phone (817) 375-0300

Other identifiers 4

IdentifierTypeStateIssuer
TXB145801OtherTXMEDICARE PIN
0045PSOtherTXBCBS
DG3237OtherTXRAILROAD MEDICARE
00X866OtherTXMEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070803000406 TX Part B Supplier - Clinic/Group Practice 0941391072 Receives reassigned benefits from 5 practitioners
Practice locations: Arlington, TX; Desoto, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2032200DFW Vascular Group2801 Bolton Boone, Suite 105, Desoto, TX 75115Certificate of waiverNov 6, 2027

National Provider Directory

National Provider Directory

Locations

221 W Colorado Blvd
#729
Dallas, TX 75208

221 W Colorado Blvd
Ste 625
Dallas, TX 75208
Phone (214) 943-8605

221 W Colorado Blvd
Ste 729
Dallas, TX 75208
Phone (214) 396-1018

2801 Bolton Boone Dr
Desoto, TX 75115

2801 Bolton Boone Dr
Ste 105
Desoto, TX 75115
Phone (214) 946-5165

2800 E Broad St
Ste 308
Mansfield, TX 76063
Phone (682) 242-4325

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1467585786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BOLTON BOONE DR STE 105",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152041",
            "telephone_number": "972-296-2122",
            "fax_number": "972-296-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 BOLTON BOONE DR STE 105",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152041",
            "telephone_number": "972-296-2122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 W Mayfield Rd Ste 416",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760142085",
            "country_code": "US",
            "telephone_number": "817-375-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DFW VASCULAR GROUP LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "214-946-5165",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "TXB145801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0045PS",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG3237",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "00X866",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.