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VASCULAR INSTITUTE OF ARIZONA PLLC
NPI 1093380941
Surgery - Vascular Surgery in Queen Creek, AZ

Active since May 24, 2021
21321 E OCOTILLO RD STE 125, QUEEN CREEK, AZ 85142(480) 936-7722(480) 936-7723 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vascular Institute Of Arizona Pllc NPPES

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

VASCULAR INSTITUTE OF ARIZONA PLLC (NPI 1093380941) is a healthcare organization registered as a vascular surgery in Queen Creek, Arizona and active in the NPI registry since May 2021. The organization lists Praveen C Balraj, Member Manager, as its authorized official.

NPPES Registry Identity

NPI1093380941
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameVASCULAR INSTITUTE OF ARIZONA PLLC
Location Address21321 E OCOTILLO RD STE 125Queen Creek, AZ 85142-5995
Mailing Address2040 S Alma School Rd Ste 1Chandler, AZ 85286-7076 · (480) 936-7722 · Fax (480) 936-7723
Phone(480) 936-7722
Fax(480) 936-7723
Organization SubpartNo
Authorized OfficialPraveen C BalrajMember Manager · (480) 936-7722
Enumeration DateMay 24, 2021
NPPES CertifiedMay 24, 2021
✔ NPI 1093380941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
21321 E OCOTILLO RD STE 125, Queen Creek, AZ 85142
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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 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)

Vascular Institute Of Arizona Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Vascular Institute Of Arizona PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Praveen Chandar Balraj, MD
Vascular Surgery
NPI 1447562640
21321 E OCOTILLO RD STE 125
Queen Creek, AZ 85142
(480) 936-7722
✔ PECOS✔ Accepts MedicareSame address
Katherine Denison, AGACNP
Nurse Practitioner
NPI 1396426292
2946 E. BANNER GATEWAY DR
Gilbert, AZ 85234
(480) 256-6444
✔ PECOS✔ Accepts Medicare11 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 Vascular Institute Of Arizona PLLC's NPI number?

The NPI number for Vascular Institute Of Arizona PLLC is 1093380941. It was assigned to this organization in the NPPES registry on May 24, 2021.

Where is Vascular Institute Of Arizona PLLC located?

Vascular Institute Of Arizona PLLC is located at 21321 E Ocotillo Rd Ste 125, Queen Creek, AZ 85142. The listed phone number is (480) 936-7722.

What is Vascular Institute Of Arizona PLLC's specialty?

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

Is Vascular Institute Of Arizona PLLC enrolled in Medicare?

Yes. Vascular Institute Of Arizona PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vascular Institute Of Arizona PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Vascular Institute Of Arizona PLLC, in Nurse Practitioner and Vascular Surgery. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vascular Institute Of Arizona PLLC was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.