DOMINION VASCULAR SURGICAL SPECIALISTS
NPI 1134966286
Surgery - Vascular Surgery in Lake Mary, FL
About Dominion Vascular Surgical Specialists NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOMINION VASCULAR SURGICAL SPECIALISTS (NPI 1134966286) is a healthcare organization registered as a vascular surgery in Lake Mary, Florida and active in the NPI registry since July 2024. The organization maintains 2 additional practice locations and lists Olubunmi Olatayo Esan, Dr., as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dominion Vascular Surgical Specialists 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 Dominion Vascular Surgical Specialists, which bills Medicare for the services this clinician delivers.
Clinician (1)
Lake Mary, FL 32746
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 Dominion Vascular Surgical Specialists's NPI number?
The NPI number for Dominion Vascular Surgical Specialists is 1134966286. It was assigned to this organization in the NPPES registry on July 15, 2024.
Where is Dominion Vascular Surgical Specialists located?
Dominion Vascular Surgical Specialists is located at 1355 S International Pkwy Ste 1491, Lake Mary, FL 32746. The listed phone number is (040) 754-3641.
What is Dominion Vascular Surgical Specialists's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Dominion Vascular Surgical Specialists enrolled in Medicare?
Yes. Dominion Vascular Surgical Specialists is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dominion Vascular Surgical Specialists?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Vascular Surgery) reassigns their Medicare billing to Dominion Vascular Surgical Specialists. 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 Dominion Vascular Surgical Specialists was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Dominion Vascular Surgical Specialists · NPI 1134966286
Vascular Surgery organization in Lake Mary, Florida. Organization record, active in the CMS NPPES registry since July 15, 2024.
## Identity
- **NPI:** 1134966286 (Entity type: Organization)
- **Enumerated:** July 15, 2024
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **Organization subpart:** No
- **Authorized official:** Olubunmi Esan, DR.
## Practice location
- **Address:** 1355 S INTERNATIONAL PKWY STE 1491, Lake Mary, FL 32746-1694
- **Phone:** (040) 754-3641
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Vascular Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 16, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1134966286) · Data from the CMS NPPES public registry.