NPIMap

Individual provider Active NPI

Samuel E Victoria Jr., M.D.

  • Vascular Surgery Physician
  • New Orleans, LA
National Provider Identifier
1649690835
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
83005 Issued in GA
Practice address
1542 Tulane Ave
7TH Floor
New Orleans, LA 70112-2865
Phone
(504) 568-4750
Fax
(504) 468-4633
NPI assigned
Apr 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 301277 LA
Student in an Organized Health Care Education/Training Program 390200000X
Vascular Surgery Physician 2086S0129X 83005 GA Primary

Addresses

Primary practice location

1542 Tulane Ave
7TH Floor
New Orleans, LA 70112-2865

Mailing address

500 E Hampden Ave Ste 204
Englewood, CO 80113-2885
Phone (303) 778-6527

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231208002050 CO Practitioner - Vascular Surgery 9335447697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Ponce School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Cardiovascular Surgical Associates, P.C.Group PAC ID 0143298786, 5 clinicians

Practice addresses (Care Compare)

500 E Hampden Ave
Suite 204
Englewood, CO 80113-2885
Phone (303) 778-6527

Hospital & facility affiliations

  • The Medical Center of Aurora & South Hospital Hospital, Aurora, CO, CCN 060100
  • Sky Ridge Medical Center Hospital, Lone Tree, CO, CCN 060112
  • Centura Health-St Anthony Hospital Hospital, Lakewood, CO, CCN 060015
  • HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034
  • AdventHealth Littleton Hospital, Littleton, CO, CCN 060113

Merit-based Incentive Payment System (MIPS)

Final score
81.09 of 100Reported as group
Quality
69.07
Improvement activities
40
Cost
58.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Varicose vein removal20
Leg revascularization (restoring blood flow)14
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
301277LAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Cardiovascular Surgical Associates,Inc CurrentSince Jan 15, 2024 Accepting new patients
HCA Healthone LLC Past Accepting new patients

Locations

1421 S Potomac St
Aurora, CO 80012
Phone (303) 751-0822

1421 S Potomac St
Ste 220
Aurora, CO 80012
Phone (303) 337-5600

950 E Harvard Ave
Ste 550
Denver, CO 80210
Phone (303) 269-2920

500 E Hampden Ave
Ste 204
Englewood, CO 80113
Phone (303) 778-6527

Organizations & group practices 2

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.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1398470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1649690835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E HAMPDEN AVE STE 204",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132885",
            "telephone_number": "303-778-6527",
            "fax_number": "303-733-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 TULANE AVE",
            "address_2": "7TH FLOOR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122865",
            "telephone_number": "504-568-4750",
            "fax_number": "504-468-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTORIA",
        "first_name": "SAMUEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-26",
        "last_updated": "2023-11-29",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "301277",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "83005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.