WESTERN VASCULAR INSTITUTE PLLC
NPI 1265521181
Surgery - Vascular Surgery in Mesa, AZ

Active since October 11, 2006CLIA Certified · 4 labs
7165 E UNIVERSITY DR STE 183, MESA, AZ 85207(480) 668-5000(480) 668-5065 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Western Vascular Institute Pllc NPPES

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

WESTERN VASCULAR INSTITUTE PLLC (NPI 1265521181) is a healthcare organization registered as a vascular surgery in Mesa, Arizona and active in the NPI registry since October 2006. The organization holds 4 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Jill M Tom, Credentialing Officer, as its authorized official.

NPPES Registry Identity

NPI1265521181
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameWESTERN VASCULAR INSTITUTE PLLC
Location Address7165 E UNIVERSITY DR STE 183Mesa, AZ 85207-6415
Mailing Address7165 E University Dr Ste 187Mesa, AZ 85207-6415 · (480) 668-5000 · Fax (480) 584-4289
Fax(480) 668-5065
Organization SubpartNo
Authorized OfficialJill M TomCredentialing Officer · (480) 668-5000
Enumeration DateOctober 11, 2006
Last NPPES UpdateJanuary 21, 2026
NPPES CertifiedJanuary 21, 2026
✔ NPI 1265521181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
7165 E UNIVERSITY DR STE 183, Mesa, AZ 85207

Secondary Practice Locations 2

Location 1120 W Highway 287Florence, AZ 85132-8170 · Phone (480) 668-5000 · Fax (480) 668-5065
Location 2903 E State Highway 260Payson, AZ 85541-4966 · Phone (480) 668-5000 · Fax (480) 668-5065

Other Identifiers 1

Medicaid414258AZ

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Western Vascular Institute Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Western Vascular Institute PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Vascular Surgery7
Nurse Practitioner4
Family Practice1

Clinicians, nearest first (12)

Nurse Practitioner
NPI 1811884448
7165 E UNIVERSITY DR STE 183
Mesa, AZ 85207
(480) 668-5000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1932068632
7165 E UNIVERSITY DR STE 183
Mesa, AZ 85207
(480) 668-5000
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1114289774
7165 E UNIVERSITY DR STE 183
Mesa, AZ 85207
(480) 668-5000
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1699771659
7165 E UNIVERSITY DR STE 183
Mesa, AZ 85207
(480) 668-5000
✔ PECOS✔ Accepts Medicare0.1 mi
Vascular Surgery
NPI 1346215589
7165 E UNIVERSITY DR STE 183
Mesa, AZ 85207
(480) 668-5000
✔ PECOS✔ Accepts Medicare0.1 mi
Vascular Surgery
NPI 1700454170
7165 E UNIVERSITY DR STE 183
Mesa, AZ 85207
(480) 668-5000
✔ PECOS0.1 mi
Vascular Surgery
NPI 1043285299
7165 E UNIVERSITY DR STE 183
Mesa, AZ 85207
(480) 668-5000
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1952985889
5555 E BASELINE RD
Mesa, AZ 85206
(480) 393-0575
✔ PECOS✔ Accepts Medicare3.7 mi
Vascular Surgery
NPI 1932100880
333 W THOMAS RD
Phoenix, AZ 85013
(602) 374-4101
✔ PECOS✔ Accepts Medicare24 mi
Vascular Surgery
NPI 1902807852
3411 N 5TH AVE STE 301
Phoenix, AZ 85013
(602) 374-4101
✔ PECOS✔ Accepts Medicare24 mi
Family Practice
NPI 1083663306
2510 W DUNLAP AVE STE 290
Phoenix, AZ 85021
(602) 789-0344
✔ PECOS27 mi
Vascular Surgery
NPI 1821330440
12361 W BOLA DR STE 100
Surprise, AZ 85378
(602) 698-7325
✔ PECOS✔ Accepts Medicare40 mi

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 4

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 03D2331610

Western Vascular Institute, PLLC · Florence, AZ
Active · expires Oct 5, 2027
CLIA Number03D2331610
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorHenry Tarilan
Laboratory Phone(480) 668-5000
Laboratory LocationWestern Vascular Institute, PLLC120 W Hwy 287, Ste 4, Florence, AZ 85132
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2326899

Western Vascular Institute · Mesa, AZ
Active · expires Jul 10, 2027
CLIA Number03D2326899
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 11, 2025
Certificate Expiration DateJuly 10, 2027
Laboratory DirectorHenry Tarlian
Laboratory Phone(480) 668-5000
Laboratory LocationWestern Vascular Institute7165 E University Dr Ste 183, Mesa, AZ 85207
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2138558

Western Vascular Institute, PLLC · Mesa, AZ
Active · expires Oct 18, 2027
CLIA Number03D2138558
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorHenry S. Tarlian
Laboratory Phone(480) 668-5000
Laboratory LocationWestern Vascular Institute, PLLC903 E Hwy 260 Ste 4, Mesa, AZ 85207
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 03D2026825

Western Vascular Institute, PLLC · Mesa, AZ
Active · expires May 30, 2027
CLIA Number03D2026825
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 31, 2025
Certificate Expiration DateMay 30, 2027
Laboratory DirectorMonica Kurtz
Laboratory Phone(480) 668-5000
Laboratory LocationWestern Vascular Institute, PLLC7165 E University Dr, Ste 105, Mesa, AZ 85207
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Western Vascular Institute PLLC's NPI number?

The NPI number for Western Vascular Institute PLLC is 1265521181. It was assigned to this organization in the NPPES registry on October 11, 2006.

Where is Western Vascular Institute PLLC located?

Western Vascular Institute PLLC is located at 7165 E University Dr Ste 183, Mesa, AZ 85207. The listed phone number is (480) 668-5000.

What is Western Vascular Institute PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Western Vascular Institute PLLC enrolled in Medicare?

Yes. Western Vascular Institute PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Western Vascular Institute PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Western Vascular Institute PLLC. 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 Vascular Surgery (7), Nurse Practitioner (4) and Family Practice (1). Of these, 2 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Western Vascular Institute PLLC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Western Vascular Institute PLLC accept?

Health plans from Cigna HealthCare of Arizona, Inc list Western Vascular Institute PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Western Vascular Institute PLLC was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.