NPIMap

Individual provider Active NPI

Priyam Kirit Vyas

  • Vascular Surgery Physician
  • Virginia Beach, VA
National Provider Identifier
1992116693
Registry record updated Jul 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
0101276263 Issued in VA
Practice address
397 Little Neck Rd Ste 120
Virginia Beach, VA 23452-5774
Phone
(577) 395-1600
NPI assigned
May 15, 2014
Last updated
Jul 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training Program 390200000X OH
Vascular Surgery Physician 2086S0129X 0101276263 VA Primary

Addresses

Primary practice location

397 Little Neck Rd Ste 120
Virginia Beach, VA 23452-5774

Mailing address

397 Little Neck Rd Ste 120
Virginia Beach, VA 23452-5774
Phone (577) 395-1600

Other practice location 1

9500 Euclid Ave # Na-23
Cleveland, OH 44195-6844
Phone (704) 849-0728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221111001447 VA Practitioner - Vascular SurgeryPractitioner - Family Practice 7810200748 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Access Services PLLCGroup PAC ID 3971513771, 10 clinicians
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

397 Little Neck Rd
Virginia Beach, VA 23452-5765

397 Little Neck Rd
3300 South BLDG
Virginia Beach, VA 23452-5770
Phone (757) 333-3870

397 Little Neck Rd
Suite 120
Virginia Beach, VA 23452-5774
Phone (757) 395-1600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal17
Leg revascularization (restoring blood flow)30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Vascular Surgery CurrentSince Sep 12, 2022 Accepting new patients
Vascular Access ASC Vascular Surgery Past Accepting new patients
Mandell Retina Center PC Past Accepting new patients

Locations

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

397 Little Neck Rd
Ste 120
Virginia Beach, VA 23452

Interoperability endpoints

  • Direct secure messaging: pvyas771972@direct.sentara.net

Organizations & group practices 4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720828800000",
    "number": "1992116693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 LITTLE NECK RD STE 120",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525774",
            "telephone_number": "577-395-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 LITTLE NECK RD STE 120",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525774",
            "telephone_number": "577-395-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Euclid Ave # Na-23",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441956844",
            "country_code": "US",
            "telephone_number": "704-849-0728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VYAS",
        "first_name": "PRIYAM",
        "middle_name": "KIRIT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-15",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101276263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.