Active NPI
Kristian A. Ulloa, MD
- Vascular Surgery Physician
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- ME174209
- Practice address
- 6220 Manatee Ave W Ste 203
Bradenton, FL 34209-2361 - Phone
- (941) 795-6370
- Fax
- (941) 798-9977
- NPI assigned
- Feb 22, 2007
- Last updated
- Nov 17, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME174209 | FL | |
| Vascular Surgery Physician | 2086S0129X | ME174209 | FL | Primary |
Addresses
Primary practice location
6220 Manatee Ave W Ste 203
Bradenton, FL 34209-2361
Mailing address
6220 Manatee Ave W Ste 203
Bradenton, FL 34209-2361
Phone (941) 795-6370
Other practice location 1
2020 59th St W
Bradenton, FL 34209-4604
Phone (941) 792-6611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Rutgers New Jersey Medical School, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6220 Manatee Ave W
Suite 203
Bradenton, FL 34209-2361
Phone (941) 795-6370
Hospital & facility affiliations
- HCA Florida Sarasota Doctors Hospital
- Sinai Hospital of Baltimore
- HCA Florida Blake Hospital
- University of MD St Joseph Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.84 of 100
- Quality
- 73.85
- Promoting interoperability
- 88
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Varicose vein removal | 18 |
| Leg revascularization (restoring blood flow) | 38 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME174209 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vascular Wellness Institute, LLC. | Vascular Surgery | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303
6220 Manatee Ave W
Ste 203
Bradenton, FL 34209
Phone (941) 795-6370
Interoperability endpoints
- kristian.ulloa@direct.vsadocs.nextgenshare.com
- kulloa7696@direct.umm.edu
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Vascular Surgery Physician
- Bradenton, FL
- NPI 1275402562
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Blake Hospital
- General Acute Care Hospital
- Bradenton, FL
- NPI 1114964244
-
dba HCA Florida Sarasota Doctors Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1003862053
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1285672204
-
dba Grace Medical Center, A Sinai Hospital Facility
- General Acute Care Hospital
- Baltimore, MD
- NPI 1487325874
-
dba University of Maryland St. Joseph Medical Center
- General Acute Care Hospital
- Towson, MD
- NPI 1124374079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1760517775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6220 MANATEE AVE W STE 203",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342092361",
"telephone_number": "941-795-6370",
"fax_number": "941-798-9977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6220 MANATEE AVE W STE 203",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342092361",
"telephone_number": "941-795-6370",
"fax_number": "941-798-9977"
}
],
"practiceLocations": [
{
"address_1": "2020 59th St W",
"address_purpose": "LOCATION",
"city": "Bradenton",
"state": "FL",
"postal_code": "342094604",
"country_code": "US",
"telephone_number": "941-792-6611",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ULLOA",
"first_name": "KRISTIAN",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME174209",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "ME174209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.