NPIMap

Organization Active NPI

Connecticut Valley General & Vascular Surgical Assoc PC

  • Vascular Surgery Physician
  • Enfield, CT
National Provider Identifier
1841487055
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
031645 Issued in CT
Legal business name
CONNECTICUT VALLEY GENERAL & VASCULAR SURGICAL ASSOC PC
Practice address
115 Elm St
Suite 106
Enfield, CT 06082-3712
Phone
(860) 741-5619
Fax
(860) 741-6072
NPI assigned
Oct 2, 2007
Last updated
Aug 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Authorized official

Name
Dr. Vasilios Karabinis, MDNPI 1861458572
Title
Owner
Phone
(860) 741-5619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 031645 CT Primary

Addresses

Primary practice location

115 Elm St
Suite 106
Enfield, CT 06082-3712

Mailing address

115 Elm St
Suite 106
Enfield, CT 06082-3712
Phone (860) 741-5619

Other identifiers 1

IdentifierTypeStateIssuer
C01931OtherCTMEDICARE GROUP #

Other names 1

  • Vasilios D Karabinis Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090112000071 CT Part B Supplier - Clinic/Group Practice 8325101785 Receives reassigned benefits from 1 practitioner
Practice locations: Enfield, CT

National Provider Directory

National Provider Directory
Tax ID family
Connecticut Valley General Vascular Surgical Assoc PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1841487055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ELM ST",
            "address_2": "SUITE 106",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823712",
            "telephone_number": "860-741-5619",
            "fax_number": "860-741-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ELM ST",
            "address_2": "SUITE 106",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823712",
            "telephone_number": "860-741-5619",
            "fax_number": "860-741-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT VALLEY GENERAL & VASCULAR SURGICAL ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "KARABINIS",
        "authorized_official_first_name": "VASILIOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-741-5619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CT",
            "license": "031645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "C01931",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vasilios D Karabinis",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Vasilios D Karabinis",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.