PEAK VASCULAR PROFESSIONALS
NPI 1063388346
Radiology - Vascular & Interventional Radiology in South Ogden, UT
About Peak Vascular Professionals NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEAK VASCULAR PROFESSIONALS (NPI 1063388346) is a healthcare organization registered as a vascular & interventional radiology in South Ogden, Utah and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through January 20, 2028 and lists Shawn Dale Isaeff, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Peak Vascular Professionals is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Peak Vascular Professionals, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 46D2337327
Peak Vascular Professionals LLC · Ogden, UTFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Peak Vascular Professionals's NPI number?
The NPI number for Peak Vascular Professionals is 1063388346. It was assigned to this organization in the NPPES registry on October 14, 2025.
Where is Peak Vascular Professionals located?
Peak Vascular Professionals is located at 955 Chambers St Ste 200, South Ogden, UT 84403. The listed phone number is (801) 441-9665.
What is Peak Vascular Professionals's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.
Is Peak Vascular Professionals enrolled in Medicare?
Yes. Peak Vascular Professionals is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Peak Vascular Professionals?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Peak Vascular Professionals, in Diagnostic Radiology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Peak Vascular Professionals hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 46D2337327) is associated with this NPI, valid through January 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Peak Vascular Professionals accept?
Health plans from Molina Healthcare and University of Utah Health Plans list Peak Vascular Professionals as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Peak Vascular Professionals was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Peak Vascular Professionals · NPI 1063388346
Vascular & Interventional Radiology organization in South Ogden, Utah. Organization record, active in the CMS NPPES registry since October 14, 2025.
## Identity
- **NPI:** 1063388346 (Entity type: Organization)
- **Enumerated:** October 14, 2025
- **Primary specialty:** Radiology - Vascular & Interventional Radiology · taxonomy 2085R0204X
- **Organization subpart:** No
- **Authorized official:** Shawn Isaeff, MANAGER
## Practice location
- **Address:** 955 CHAMBERS ST STE 200, South Ogden, UT 84403-4519
- **Phone:** (801) 441-9665
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Diagnostic Radiology (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 29, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063388346) · Data from the CMS NPPES public registry.