NPIMap

Organization Active NPI

Vegas Vascular Specialists PLLC

  • Vascular Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1700523917
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
VEGAS VASCULAR SPECIALISTS PLLC
Practice address
8930 W Sunset Rd Ste 250
Las Vegas, NV 89148-5008
Phone
(702) 565-8346
Fax
(702) 202-2000
NPI assigned
May 18, 2022
Last updated
May 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Teresa Ilagan
Title
Office Manager
Phone
(702) 565-8346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

8930 W Sunset Rd Ste 250
Las Vegas, NV 89148-5008

Mailing address

9811 W Charleston Blvd # 2640
Las Vegas, NV 89117-7528
Phone (702) 565-8346

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL VEGASVASCULARSPECIALISTS Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221206002481 NV Part B Supplier - Clinic/Group Practice 8325417793 Receives reassigned benefits from 10 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

9811 W Charleston Blvd
Unit 2640
Las Vegas, NV 89117

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1700523917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 W CHARLESTON BLVD # 2640",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177528",
            "telephone_number": "702-565-8346",
            "fax_number": "702-202-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 W SUNSET RD STE 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485008",
            "telephone_number": "702-565-8346",
            "fax_number": "702-202-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGAS VASCULAR SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "ILAGAN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-565-8346"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "VEGASVASCULARSPECIALISTS",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "VEGASVASCULARSPECIALISTS",
            "address_1": "8930 W Sunset Rd Ste 250",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891485008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.