SOUTHWEST VASCULAR P.C.
NPI 1093273781
Surgery - Vascular Surgery in North Richland Hills, TX

Active since March 12, 2019
4300 CITY POINT DR STE 104, NORTH RICHLAND HILLS, TX 76180(817) 770-0608(817) 616-3155 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 9, 2026, Mar 12, 2019 (2 updates tracked since 2019).

About Southwest Vascular P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHWEST VASCULAR P.C. (NPI 1093273781) is a healthcare organization registered as a vascular surgery in North Richland Hills, Texas and active in the NPI registry since March 2019. The organization lists Martha Providenza, Admistrator, as its authorized official.

NPPES Registry Identity

NPI1093273781
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameSOUTHWEST VASCULAR P.C.
Location Address4300 CITY POINT DR STE 104North Richland Hills, TX 76180-8380
Mailing AddressPo Box 820604North Richland Hills, TX 76182-0604 · (817) 770-0608 · Fax (817) 616-3155
Fax(817) 616-3155
Organization SubpartNo
Authorized OfficialMartha ProvidenzaAdmistrator · (817) 614-9552
Enumeration DateMarch 12, 2019
Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1093273781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X
4300 CITY POINT DR STE 104, North Richland Hills, TX 76180

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southwest Vascular P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southwest Vascular P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Vascular Surgery
NPI 1013962349
4375 BOOTH CALLOWAY RD SUITE 501
North Richland Hills, TX 76180
(817) 284-4500
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently 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 Southwest Vascular P.C.'s NPI number?

The NPI number for Southwest Vascular P.C. is 1093273781. It was assigned to this organization in the NPPES registry on March 12, 2019.

Where is Southwest Vascular P.C. located?

Southwest Vascular P.C. is located at 4300 City Point Dr Ste 104, North Richland Hills, TX 76180. The listed phone number is (817) 770-0608.

What is Southwest Vascular P.C.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Southwest Vascular P.C. enrolled in Medicare?

Yes. Southwest Vascular P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southwest Vascular P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Vascular Surgery) reassigns their Medicare billing to Southwest Vascular P.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southwest Vascular P.C. was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.