NPIMap

Organization Active NPI

Advanced Veins and Vascular Management PLC

  • Vascular Surgery Physician
  • Hillsdale, MI
National Provider Identifier
1972158566
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
ADVANCED VEINS AND VASCULAR MANAGEMENT PLC
Practice address
3271 W Carleton Rd
Hillsdale, MI 49242-9458
Phone
(517) 437-3879
NPI assigned
Aug 9, 2019
Last updated
Nov 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Dr. Abedel Karim Abushmaies, MDNPI 1003875840
Title
Owner/Physician
Phone
(269) 830-7735

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

3271 W Carleton Rd
Hillsdale, MI 49242-9458

Mailing address

3271 W Carleton Rd
Hillsdale, MI 49242-9458
Phone (517) 437-3879

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190829002972 MI Part B Supplier - Clinic/Group Practice 5496083313 Receives reassigned benefits from 2 practitioners
Practice locations: Sturgis, MI; Hillsdale, MI; Battle Creek, MI; Coldwater, MI

National Provider Directory

National Provider Directory

Locations

5470 Glenn Cross Rd
Battle Creek, MI 49015
Phone (269) 788-1258

605 W Chicago Rd
#2
Coldwater, MI 49036
Phone (517) 437-3879

3271 W Carleton Rd
Hillsdale, MI 49242
Phone (517) 437-3879

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIBIBD

Practitioners & affiliated clinicians

Practitioners 41

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 41

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1972158566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3271 W CARLETON RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492429458",
            "telephone_number": "517-437-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271 W CARLETON RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492429458",
            "telephone_number": "517-437-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED VEINS AND VASCULAR MANAGEMENT PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "ABUSHMAIES",
        "authorized_official_first_name": "ABEDEL",
        "authorized_official_middle_name": "KARIM",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "269-830-7735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.