ADVANCED VASCULAR SOLUTIONS, LLC
NPI 1104459783
Surgery - Vascular Surgery in Sebastian, FL
About Advanced Vascular Solutions, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED VASCULAR SOLUTIONS, LLC (NPI 1104459783) is a healthcare organization registered as a vascular surgery in Sebastian, Florida and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through June 12, 2028, maintains 2 additional practice locations, and lists Jad Shalhoub, External Consultant, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
Group Practice 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Advanced Vascular Solutions, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Advanced Vascular Solutions, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
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 10D2262342
Advanced Vascular Solutions LLC · Sebastian, FLFrequently 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 Advanced Vascular Solutions, LLC's NPI number?
The NPI number for Advanced Vascular Solutions, LLC is 1104459783. It was assigned to this organization in the NPPES registry on February 21, 2020.
Where is Advanced Vascular Solutions, LLC located?
Advanced Vascular Solutions, LLC is located at 13110 Us Highway 1, Sebastian, FL 32958. The listed phone number is (772) 581-8900.
What is Advanced Vascular Solutions, LLC's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Advanced Vascular Solutions, LLC enrolled in Medicare?
Yes. Advanced Vascular Solutions, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advanced Vascular Solutions, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Advanced Vascular Solutions, LLC. 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. The largest specialties are Nurse Practitioner (5) and Vascular Surgery (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Advanced Vascular Solutions, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2262342) is associated with this NPI, valid through June 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Advanced Vascular Solutions, LLC was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Advanced Vascular Solutions, Llc · NPI 1104459783
Vascular Surgery organization in Sebastian, Florida. Organization record, active in the CMS NPPES registry since February 21, 2020.
## Identity
- **NPI:** 1104459783 (Entity type: Organization)
- **Enumerated:** February 21, 2020
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **Organization subpart:** No
- **Authorized official:** Jad Shalhoub, EXTERNAL CONSULTANT
## Practice location
- **Address:** 13110 US HIGHWAY 1, Sebastian, FL 32958-3735
- **Phone:** (772) 581-8900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Vascular Surgery (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 28, 2025
- **Other identifiers:** Medicaid 108804600 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104459783) · Data from the CMS NPPES public registry.