Advanced Vein & Vascular Associates
NPI 1497062830ActiveOrganization· Surgery, Vascular Surgery· Dallas, TX
Surgery, Vascular Surgery in Dallas, Texas, registered in NPPES in September 2010. The authorized official on file is Humam Bassam Kakish, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1497062830 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 7, 2010 |
| Last updated in NPPES | Jul 24, 2024 |
| Certified by provider | Jul 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | K0853 | TX |
| Clinic/Center, Medical Specialty | 261QM2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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