Active NPI
Ricardo Vasquez, MD
- Vascular Surgery Physician
- Bloomington, IN
National Provider Identifier
1689622573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 01062063A
- Practice address
- 815 W 2ND St
Bloomington, IN 47403-2212 - Phone
- (812) 336-6008
- Fax
- (812) 339-6947
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 01062063A | IN | Primary |
Addresses
Primary practice location
815 W 2ND St
Bloomington, IN 47403-2212
Mailing address
815 W 2ND St
Bloomington, IN 47403-2212
Phone (812) 336-6008
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200818170 | Other | IN | MEDICAID GROUP |
| P00400660 | Other | IN | MEDICARE RAILROAD INDIVIDUAL |
| 200818170A | Other | IN | MEDICAID INDIVIDUAL |
| 250940 | Other | IN | MEDICARE GROUP |
| 517966 | Other | IN | ANTHEM GROUP |
| 000000517969 | Other | IN | ANTHEM INDIVIDUAL |
| 250940A | Other | IN | MEDICARE INDIVIDUAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
815 W 2ND St
Bloomington, IN 47403-2212
Phone (812) 336-6008
Hospital & facility affiliations
- Monroe Hospital
- Indiana University Health Bloomington Hospital
- Indiana University Health Bedford Hospital
- Indiana University Health
- Greene County General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.14 of 100
- Quality
- 35
- Improvement activities
- 40
- Cost
- 98.33
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 77 |
| Leg revascularization (restoring blood flow) | 22 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vascular Center & Vein Clinic of Southern Indiana | Vascular Surgery | Current | Accepting new patients |
| Vascular Surgery & Technology | Vascular Surgery | Past | Accepting new patients |
Locations
815 W 2nd St
Bloomington, IN 47403
Phone (812) 336-4947
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GGFHDD/Endpoint/GGFHDD
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.
-
- Vascular Surgery Physician
- Bloomington, IN
- NPI 1346369287
-
- Vascular Surgery Physician
- Chesterton, IN
- NPI 1841248218
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Linton, IN
- NPI 1184695389
-
- Critical Access Hospital
- Bedford, IN
- NPI 1548260284
-
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
-
- General Acute Care Hospital
- Bloomington, IN
- NPI 1740686443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228867200000",
"number": "1689622573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 W 2ND ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032212",
"telephone_number": "812-336-6008",
"fax_number": "812-339-6947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 W 2ND ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032212",
"telephone_number": "812-336-6008",
"fax_number": "812-339-6947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUEZ",
"first_name": "RICARDO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2008-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "IN",
"license": "01062063A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "200818170",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD INDIVIDUAL",
"identifier": "P00400660",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID INDIVIDUAL",
"identifier": "200818170A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "250940",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM GROUP",
"identifier": "517966",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM INDIVIDUAL",
"identifier": "000000517969",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL",
"identifier": "250940A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.