Individual provider Active NPI

Satish V Vayuvegula, M.D.

  • Cardiovascular Disease Physician
  • Carrollton, TX
National Provider Identifier
1477547875
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
P2390 Issued in TX
Practice address
4721 Holland LN
Carrollton, TX 75010-4594
Phone
(312) 718-2368
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X 036106606 IL
Phlebology Physician 202K00000X 35094576 OH
Phlebology Physician 202K00000X P2390 TX
Emergency Medicine Physician 207P00000X 35094576 OH
Emergency Medicine Physician 207P00000X P2390 TX
Vascular Surgery Physician 2086S0129X 036106606 IL
General Practice Physician 208D00000X P2390 TX
General Practice Physician 208D00000X 35094576 OH
Cardiovascular Disease Physician 207RC0000X P2390 TX Primary

Addresses

Primary practice location

4721 Holland LN
Carrollton, TX 75010-4594

Mailing address

4721 Holland LN
Carrollton, TX 75010-4594
Phone (312) 718-2368

Other identifiers 15

IdentifierTypeStateIssuer
194873OtherPAMEDICARE GROUP PTAN
P00888630OtherTNMEDICARE RAILROAD INDIVIDUAL PTAN
789511OtherILMEDICARE GROUP PTAN
DC4196OtherILMEDICARE RAILROAD GROUP PTAN
P00167671OtherILMEDICARE RAILROAD INDIVIDUAL PTAN
P00889814OtherMOMEDICARE RAILROAD INDIVIDUAL PTAN
DF3698OtherMOMEDICARE RAILROAD GROUP PTAN
DG0518OtherVAMEDICARE RAILROAD GROUP PTAN
G01618OtherVAMEDICARE GROUP PTAN
W650000OtherMOMEDICARE GROUP PTAN
1477547875MedicaidTX
789510OtherILMEDICARE GROUP PTAN
P00468401OtherVAMEDICARE RAILROAD INDIVIDUAL PTAN
3733226OtherTNMEDICARE GROUP PTAN
DE5194OtherTNMEDICARE RAILROAD GROUP PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ME2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210615003719 TX Practitioner - General PracticePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Emergency Medicine 8527958768 Reassigns benefits to 1 organization
I20240110001523 ME Practitioner - Emergency Medicine 8527958768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Emergency Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cindy Asbjornsen DO LLCGroup PAC ID 5496927410, 6 clinicians

Practice addresses (Care Compare)

137 E State Hwy 121
Suite 100
Coppell, TX 75019-7984
Phone (469) 701-4878

35 Foden Rd
South Portland, ME 04106-1722
Phone (207) 221-7799

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P2390TXMDCardiovascular Disease Physician
35094576OHMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cindy Asbjornsen DO LLC CurrentSince Nov 15, 2023 Accepting new patients
Vvctx, PLLC Phlebology CurrentSince Jul 15, 2024 Accepting new patients
Eastern Wisconsin Medical Company S.C. Phlebology PastSince Dec 1, 2017 Accepting new patients
Affinity Sports Medicine, LLC PastSince Sep 4, 2010 Accepting new patients
Hoopeston Emergency Medicine Specialists, LTD. Emergency Medicine Past Accepting new patients
New Era Medical Services, LLC Emergency Medicine Past Accepting new patients
USA Vein Clinics of Chantilly LLC Vascular Surgery PastSince Jan 22, 2025 Accepting new patients
Vein Clinics of Chicago LLC Vascular Surgery Past Accepting new patients

Locations

35 Foden Rd
South Portland, ME 04106
Phone (207) 221-3919

137 E State Highway 121
Ste 100
Coppell, TX 75019
Phone (312) 718-2368

Interoperability endpoints

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

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1477547875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 HOLLAND LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104594",
            "telephone_number": "312-718-2368"
        },
        {
            "country_code": "US",
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            "address_purpose": "LOCATION",
            "address_type": "DOM",
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            "postal_code": "750104594",
            "telephone_number": "312-718-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAYUVEGULA",
        "first_name": "SATISH",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
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            "taxonomy_group": "",
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            "license": "P2390",
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        },
        {
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            "primary": false
        },
        {
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            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
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            "primary": true
        }
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            "identifier": "W650000",
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            "identifier": "1477547875",
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        {
            "code": "01",
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            "issuer": "MEDICARE GROUP PTAN",
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        {
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    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.