NPIMap

Organization Active NPI

Expert Vascular Care of Columbus LLC

  • Vascular & Interventional Radiology Physician
  • Columbus, OH
National Provider Identifier
1821793555
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
EXPERT VASCULAR CARE OF COLUMBUS LLC
Practice address
3100 Plaza Properties Blvd Ste 320
Columbus, OH 43219-1530
Phone
(914) 888-6717
NPI assigned
Apr 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Authorized official

Name
Stephen Rose, MBA
Title
Chief Executive Officer
Phone
(914) 888-6717

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

3100 Plaza Properties Blvd Ste 320
Columbus, OH 43219-1530

Mailing address

72 N State Rd Ste 414
Briarcliff Manor, NY 10510-1414
Phone (914) 888-6717

Other practice location 1

59 S Terrace Ave
Newark, OH 43055-1355
Phone (614) 618-9942

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230629003989 OH Part B Supplier - Clinic/Group Practice 5597124156 Receives reassigned benefits from 8 practitioners
Practice locations: Columbus, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2281240Expert Vascular Care of Columbus3100 Plaza Properties Blvd, Columbus, OH 43219Certificate of waiverMay 2, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1821793555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 N STATE RD STE 414",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101414",
            "telephone_number": "914-888-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 PLAZA PROPERTIES BLVD STE 320",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191530",
            "telephone_number": "914-888-6717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 S Terrace Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "OH",
            "postal_code": "430551355",
            "country_code": "US",
            "telephone_number": "614-618-9942",
            "fax_number": "877-599-6389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXPERT VASCULAR CARE OF COLUMBUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "914-888-6717",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.