Vascular Institute of Arizona PLLC
NPI 1093380941ActiveOrganization· Surgery, Vascular Surgery· Queen Creek, AZ
Surgery, Vascular Surgery in Queen Creek, Arizona, registered in NPPES in May 2021. The authorized official on file is Praveen C. Balraj, MD, Member Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093380941 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 24, 2021 |
| Last updated in NPPES | May 24, 2021 |
| Certified by provider | May 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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