Vascular and Endovascular Institute of Michigan PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

VASCULAR AND ENDOVASCULAR INSTITUTE OF MICHIGAN PC

Practice address

15945 19 Mile Rd
Ste 104
Clinton Township, MI 48038-1147

Phone

(586) 228-3180

Fax

(586) 228-6613

NPI assigned

Jul 29, 2009

Organization subpart

No

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

Authorized official

Name

Youssef S Rizk, DONPI 1720080385

Title

Owner

Phone

(586) 228-3180

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Member organizations 1

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

• Riverview Lifeline Center PLLC

  • Specialist
  • Detroit, MI
  • NPI 1528130325

  Member Of

  NPD member

Locations

Practitioners 3

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

• Youssef S Rizk, DO

  • Vascular Surgery Physician
  • Detroit, MI
  • NPI 1720080385

  MI, Vascular Surgery

  Medicare reassignment NPD Authorized official
• Charles J Shanley, MD

  • Vascular Surgery Physician
  • Grosse Pointe, MI
  • NPI 1689614141

  MI, Vascular Surgery

  Medicare reassignment NPD
• Mark Mishack, MD

  • Nephrology Physician
  • Clinton Township, MI
  • NPI 1831191485
  NPD (past)

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1629209374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15945 19 MILE RD",
            "address_2": "STE 104",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381147",
            "telephone_number": "586-228-3180",
            "fax_number": "586-228-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15945 19 MILE RD",
            "address_2": "STE 104",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381147",
            "telephone_number": "586-228-3180",
            "fax_number": "586-228-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR AND ENDOVASCULAR INSTITUTE OF MICHIGAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "RIZK",
        "authorized_official_first_name": "YOUSSEF",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-228-3180",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Vansparrentak, OTRL
• Anna Kimberly Vantoai, D.O.
• Alexandra Varga
• Geevar Kannanayakal Varghese, PT
• Vascular Access Stat, LLC
• Vasudevar Rao Mandava MD PC
• VDM of Michigan
• Babu R Vemuri, M.D.
• Carlisle A. Vendittelli, M.D.
• Harini Kayravini Venkatesh, MD

• All providers in Clinton Township, MI
• Vascular Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.

Verify at the official NPI Registry.