AVS DIABETIC CLINIC
NPI 1205509742
General Practice in Sebastian, FL

Active since July 30, 2021
13100 US HIGHWAY 1, SEBASTIAN, FL 32958(772) 581-8900 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 19, 2023, Jul 30, 2021 (2 updates tracked since 2021).

About Avs Diabetic Clinic NPPES

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

AVS DIABETIC CLINIC (NPI 1205509742) is a healthcare organization registered as a general practice in Sebastian, Florida and active in the NPI registry since July 2021. The organization lists Jad Shalhoub, Consultant, as its authorized official.

NPPES Registry Identity

NPI1205509742
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameADVANCED VASCULAR SOLUTIONS, LLC
Location Address13100 US HIGHWAY 1Sebastian, FL 32958-3735
Mailing Address13100 Us Highway 1Sebastian, FL 32958-3735 · (772) 581-8900
Organization SubpartYes
Authorized OfficialJad ShalhoubConsultant · (772) 581-8900
Enumeration DateJuly 30, 2021
Last NPPES UpdateJanuary 19, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2023
✔ NPI 1205509742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
13100 US HIGHWAY 1, Sebastian, FL 32958

Other Names 1

Doing Business AsAvs Diabetic Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Avs Diabetic Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Avs Diabetic Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1184480485
13110 US HIGHWAY 1
Sebastian, FL 32958
(772) 581-8900
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1598549768
13110 US HIGHWAY 1
Sebastian, FL 32958
(386) 690-4941
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1922152842
13110 US HIGHWAY 1
Sebastian, FL 32958
(772) 581-8900
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629693734
1880 37TH ST STE 5
Vero Beach, FL 32960
(772) 365-4722
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1881083665
1600 36TH ST STE C
Vero Beach, FL 32960
(772) 217-4422
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1689804023
465 29TH CT SW
Vero Beach, FL 32968
(772) 532-3362
✔ PECOS✔ Accepts Medicare15 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 Advanced Vascular Solutions, LLC's NPI number?

The NPI number for Advanced Vascular Solutions, LLC is 1205509742. It was assigned to this organization in the NPPES registry on July 30, 2021. The provider is doing business as Avs Diabetic Clinic.

Where is Advanced Vascular Solutions, LLC located?

Advanced Vascular Solutions, LLC is located at 13100 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 General Practice with taxonomy code 208D00000X.

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.

When was this NPI record last updated?

The NPPES record for Advanced Vascular Solutions, LLC was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.