Active NPI
Vascular Institute of Houston PLLC
- Vascular Surgery Physician
- Houston, TX
National Provider Identifier
1770107856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- VASCULAR INSTITUTE OF HOUSTON PLLC
- Practice address
- 7515 Main St Ste 100
Houston, TX 77030-4549 - Phone
- (832) 777-7570
- Fax
- (281) 709-2575
- NPI assigned
- Jun 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bonnie Potter
- Title
- Credentialing Manager
- Phone
- (916) 846-9454
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary | ||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
7515 Main St Ste 100
Houston, TX 77030-4549
Mailing address
635 Anderson Rd Ste 4
Davis, CA 95616-3505
Phone (832) 777-7570
Other practice location 1
17215 Red Oak Dr Ste 110
Houston, TX 77090-2611
Phone (832) 777-7570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
815 Brazos St
Ste 500
Austin, TX 78701
Phone (773) 875-1272
17215 Red Oak Dr
Ste 110
Houston, TX 77090
Phone (281) 537-7784
17115 Red Oak Dr
#113
Houston, TX 77090
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AICDCD
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular & Interventional Radiology Physician
- Garland, TX
- NPI 1376854752
-
- Vascular Surgery Physician
- Fort Worth, TX
- NPI 1114997186
-
- Vascular & Interventional Radiology Physician
- Bellaire, TX
- NPI 1780900993
-
- Acute Care Nurse Practitioner
- Houston, TX
- NPI 1003491838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762732800000",
"number": "1770107856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 ANDERSON RD STE 4",
"city": "DAVIS",
"state": "CA",
"postal_code": "956163505",
"telephone_number": "832-777-7570",
"fax_number": "281-709-2575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7515 MAIN ST STE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304549",
"telephone_number": "832-777-7570",
"fax_number": "281-709-2575"
}
],
"practiceLocations": [
{
"address_1": "17215 Red Oak Dr Ste 110",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770902611",
"country_code": "US",
"telephone_number": "832-777-7570",
"fax_number": "281-709-2575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VASCULAR INSTITUTE OF HOUSTON PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-03",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A",
"authorized_official_last_name": "POTTER",
"authorized_official_first_name": "BONNIE",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "916-846-9454"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Vascular Access Center of Houston LLC
- Vascular Access Centers
- Vascular and Interventional Radiology of America
- Vascular Anesthesia Associates PLLC
- Vascular Diagnostic Laboratory
- Vascular Physician Assistants of Houston PA
- Soroush Vaseghi, DDS
- Chandni Vashee, MD
- Reena Anil Vashi, M.D.
- Tanishq Vashisht, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.