Open Access Vascular Access Center, Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

OPEN ACCESS VASCULAR ACCESS CENTER, INC

Practice address

16401 NW 2ND Ave Ste 101
Miami, FL 33169-6036

Phone

(305) 948-5333

Fax

(305) 348-3246

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sanford D. Altman, M.D.NPI 1962436220

Title

President/Owner

Phone

(305) 948-5333

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Hospital certification: CCN 100338

Legal name

OPEN ACCESS VASCULAR ACCESS CENTER INC

Certification status

Terminated Voluntary: merger or closure, Apr 30, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Apr 21, 2020

Last certification

Apr 21, 2020

Beds

1

Ownership / control type

Private (for profit)

Facility address

16401 NW 2ND Ave, Ste 101
Miami, FL 33169

Listed as

Open Access Vascular Access Center IncCCN 10C0001650

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member organizations 1

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

• Open Access Miami, LLC

  • Vascular & Interventional Radiology Physician
  • North Miami Beach, FL
  • NPI 1407053598

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tushar Champaklal Barot, M.D., MPH, FACS

  • Vascular Surgery Physician
  • Miami, FL
  • NPI 1558775874
  Medicare reassignment NPD
• Sanford David Altman, M.D.

  • Vascular & Interventional Radiology Physician
  • Miami, FL
  • NPI 1962436220
  NPD Authorized official

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1629008677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16401 NW 2ND AVE STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696036",
            "telephone_number": "305-948-5333",
            "fax_number": "305-348-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16401 NW 2ND AVE STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696036",
            "telephone_number": "305-948-5333",
            "fax_number": "305-348-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ACCESS VASCULAR ACCESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "SANFORD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "305-948-5333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL GROUP PIN",
            "identifier": "33254",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.