MONTGOMERY VASCULAR SURGERY, P.C.
NPI 1225059165
Specialist in Montgomery, AL

Active since July 23, 2006
2055 E SOUTH BLVD STE 503, MONTGOMERY, AL 36116(334) 284-6500(334) 284-6202 Get Directions Write a Review

NPPES record last updated: May 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 18, 2023, May 13, 2021, Dec 17, 2020 and 1 more (4 updates tracked since 2018).

About Montgomery Vascular Surgery, P.c. NPPES

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

MONTGOMERY VASCULAR SURGERY, P.C. (NPI 1225059165) is a healthcare organization registered as a specialist in Montgomery, Alabama and active in the NPI registry since July 2006. The organization maintains a secondary practice location in Wetumpka and lists Robert E Engles, President, as its authorized official.

NPPES Registry Identity

NPI1225059165
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMONTGOMERY VASCULAR SURGERY, P.C.
Location Address2055 E SOUTH BLVD STE 503Montgomery, AL 36116-2004
Mailing Address2055 E South Blvd Ste 503Montgomery, AL 36116-2004 · (334) 284-6500 · Fax (334) 284-6202
Fax(334) 284-6202
Organization SubpartNo
Authorized OfficialRobert E EnglesPresident · (334) 284-6500
Enumeration DateJuly 23, 2006
Last NPPES UpdateMay 27, 20244 updates tracked since enumeration
NPPES CertifiedMay 27, 2024
✔ NPI 1225059165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AL · 378
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2055 E SOUTH BLVD STE 503, Montgomery, AL 36116

Secondary Practice Location 1

Location 1277 Huntress St Ste 201Wetumpka, AL 36092-3342 · Phone (334) 284-6500 · Fax (334) 284-6202

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)

Montgomery Vascular Surgery, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Montgomery Vascular Surgery, P.C., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Certified Registered Nurse Anesthetist (CRNA)4
Vascular Surgery3
Nurse Practitioner2
General Surgery1

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1194342469
2055 E SOUTH BLVD STE 503
Montgomery, AL 36116
(334) 284-6500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1023493665
2055 E SOUTH BLVD STE 503
Montgomery, AL 36116
(334) 284-6500
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1902858640
2105 E SOUTH BLVD
Montgomery, AL 36116
(334) 386-4242
✔ Accepts MedicareSame address
Vascular Surgery
NPI 1225614654
2055 E SOUTH BLVD STE 503
Montgomery, AL 36116
(334) 284-6500
✔ PECOS✔ Accepts Medicare5.8 mi
Vascular Surgery
NPI 1396766242
2055 E SOUTH BLVD STE 503
Montgomery, AL 36116
(334) 284-6500
✔ PECOS✔ Accepts Medicare5.8 mi
Vascular Surgery
NPI 1154859049
2055 E SOUTH BLVD STE 503
Montgomery, AL 36116
(334) 284-6500
✔ PECOS✔ Accepts Medicare5.8 mi
General Surgery
NPI 1790806578
2055 E SOUTH BLVD STE 503
Montgomery, AL 36116
(334) 284-6500
✔ PECOS✔ Accepts Medicare5.8 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1780752451
507 COUNTY ROAD 40 W
Prattville, AL 36067
(334) 782-2788
✔ Accepts Medicare22 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1912577594
619 19TH ST S
Birmingham, AL 35249
(205) 934-4011
✔ Accepts Medicare88 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1073899886
1450 ROSS CLARK CIR
Dothan, AL 36301
(334) 793-5105
✔ Accepts Medicare94 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 Montgomery Vascular Surgery, P.C.'s NPI number?

The NPI number for Montgomery Vascular Surgery, P.C. is 1225059165. It was assigned to this organization in the NPPES registry on July 23, 2006.

Where is Montgomery Vascular Surgery, P.C. located?

Montgomery Vascular Surgery, P.C. is located at 2055 E South Blvd Ste 503, Montgomery, AL 36116. The listed phone number is (334) 284-6500.

What is Montgomery Vascular Surgery, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Montgomery Vascular Surgery, P.C. enrolled in Medicare?

Yes. Montgomery Vascular Surgery, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Montgomery Vascular Surgery, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Montgomery Vascular Surgery, P.C.. 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 Certified Registered Nurse Anesthetist (CRNA) (4), Vascular Surgery (3) and Nurse Practitioner (2). Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Montgomery Vascular Surgery, P.C. was last updated on May 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.