Provascular Surgery Associates PLLC
NPI 1174851810ActiveOrganization· Surgery, Vascular Surgery· Renton, WA
Surgery, Vascular Surgery in Renton, Washington, registered in NPPES in November 2009. The authorized official on file is Dennis L. Su, MD, Physician/Owner.
Overview
| NPI | 1174851810 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 18, 2009 |
| Last updated in NPPES | Dec 12, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | MD60106870 | WA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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