INNOVATIVE VASCULAR INSTITUTE, PLLC
NPI 1134803869
Radiology - Vascular & Interventional Radiology in San Antonio, TX

NPI Status: Active since June 13, 2023

Contact Information

1010 NW LOOP 410 STE 100B
SAN ANTONIO, TX
ZIP 78213
Phone: (210) 465-7015
Fax: (210) 465-7014

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  • Organization
  • Radiology
  • Vascular & Interventional Radiology
  • Accepts Insurance
  • CLIA Number: 45D2285697
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-16-2027

About INNOVATIVE VASCULAR INSTITUTE, PLLC

This page provides the complete NPI Profile along with additional information for Innovative Vascular Institute, Pllc, a provider established in San Antonio, Texas operating as a Radiology, focusing in vascular & interventional radiology . The healthcare provider is registered in the NPI registry with number 1134803869 assigned on June 2023. The practitioner's primary taxonomy code is 2085R0204X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. William D Long Md (Medical Director)

NPI
1134803869
Provider Name
INNOVATIVE VASCULAR INSTITUTE, PLLC
Entity Type
Organization
Location Address
1010 NW LOOP 410 STE 100B SAN ANTONIO, TX 78213
Location Phone
(210) 465-7015
Location Fax
(210) 465-7014
Mailing Address
1010 NW LOOP 410 STE 100B SAN ANTONIO, TX 78213
Mailing Phone
(210) 465-7015
Mailing Fax
(210) 465-7014
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-13-2023
Last Update Date
06-13-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Vascular & Interventional Radiology

Taxonomy Code
2085R0204X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Saver 750 - HMO
  • Molina Gold Saver 750 Plus with Adult Dental and Vision - HMO
  • Molina Gold Saver 750 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver with Four Free PCP Visits - HMO
  • Molina Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. WILLIAM D LONG MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(318) 792-6589

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2285697
Facility Type
Physician Office
Certificate Effective Date
July 17, 2025
Certificate Expiration Date
July 16, 2027
Laboratory Director
DENISE CALLAHAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Innovative Vascular Institute, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1134803869, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 8 → 16 → 7 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 6 + 4 + 1 + 6 + 0 + 6 + 8 + 1 + 2 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1134803869.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Radiology (Vascular & Interventional Radiology)
1010 NW LOOP 410 STE 100B
SAN ANTONIO, TX 78213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134803869, enumerated as an "organization" on June 13, 2023.

The provider is located at 1010 NW LOOP 410 STE 100B SAN ANTONIO, TX 78213 and the phone number is (210) 465-7015.

Radiology with taxonomy code 2085R0204X and a focus in Vascular & Interventional Radiology.

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.