Vascular Surgery Associates, PLLC
NPI 1538791793ActiveOrganization· Surgery, Vascular Surgery· Chicago Ridge, IL
Surgery, Vascular Surgery in Chicago Ridge, Illinois, registered in NPPES in February 2020. The authorized official on file is Martin Ira Ellenby, MD, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1538791793 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 6, 2020 |
| Last updated in NPPES | Mar 27, 2020 |
| Certified by provider | Mar 27, 2020 |
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 (IL) |
|---|
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