Endovascular Center of America PLLC
NPI 1962092213ActiveOrganization· Surgery, Vascular Surgery· Jackson, MI
Surgery, Vascular Surgery in Jackson, Michigan, registered in NPPES in January 2021. The authorized official on file is Tareq Baghal, MD, Owner.
Overview
| NPI | 1962092213 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 21, 2021 |
| Last updated in NPPES | Jul 22, 2021 |
| Certified by provider | Jul 22, 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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