Organization Active NPI

Arizona Vascular Specialists, LLC

  • Vascular Surgery Physician
  • Tucson, AZ
National Provider Identifier
1487238176
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
ARIZONA VASCULAR SPECIALISTS, LLC
Practice address
6442 E Speedway Blvd Ste 102
Tucson, AZ 85710-1134
Phone
(520) 777-4090
Fax
(520) 203-8795
NPI assigned
May 8, 2021
Last updated
Feb 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

Name
Amy Namanny
Title
Ceo
Phone
(520) 777-4090

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU
Vascular Surgery Physician 2086S0129X NU Primary
Foot & Ankle Surgery Podiatrist 213ES0103X NU

Addresses

Primary practice location

6442 E Speedway Blvd Ste 102
Tucson, AZ 85710-1134

Mailing address

6442 E Speedway Blvd Ste 102
Tucson, AZ 85710-0012
Phone (520) 777-4090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210803003049 AZ Part B Supplier - Clinic/Group Practice 7113321878 Receives reassigned benefits from 7 practitioners
Practice locations: Tucson, AZ

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
03D2117348Arizona Vascular Specialists6442 E Speedway Blvd, Ste 102, Tucson, AZ 85710Certificate of waiverAug 14, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1620432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1487238176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6442 E SPEEDWAY BLVD STE 102",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857100012",
            "telephone_number": "520-777-4090",
            "fax_number": "520-332-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6442 E SPEEDWAY BLVD STE 102",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101134",
            "telephone_number": "520-777-4090",
            "fax_number": "520-203-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA VASCULAR SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-08",
        "last_updated": "2023-02-07",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "NAMANNY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-777-4090"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.