THIRD COAST VASCULAR SC
NPI 1356085104
Radiology - Vascular & Interventional Radiology in Sheboygan, WI
About Third Coast Vascular Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THIRD COAST VASCULAR SC (NPI 1356085104) is a healthcare organization registered as a vascular & interventional radiology in Sheboygan, Wisconsin and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through June 2, 2028 and lists Taha Siders, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Group Practice 1
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)
Third Coast Vascular Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Third Coast Vascular Sc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 7
Clinicians, nearest first (15)
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
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 52D2261670
Third Coast Vascular ASC LLC · Sheboygan, WIFrequently 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 Third Coast Vascular Sc's NPI number?
The NPI number for Third Coast Vascular Sc is 1356085104. It was assigned to this organization in the NPPES registry on April 26, 2022.
Where is Third Coast Vascular Sc located?
Third Coast Vascular Sc is located at 1441 N Taylor Dr, Sheboygan, WI 53081. The listed phone number is (262) 577-0250.
What is Third Coast Vascular Sc's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.
Is Third Coast Vascular Sc enrolled in Medicare?
Yes. Third Coast Vascular Sc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Third Coast Vascular Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 7 Medicare specialties reassign their Medicare billing to Third Coast Vascular Sc. 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 (7), Certified Registered Nurse Anesthetist (CRNA) (2) and Interventional Cardiology (2). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Third Coast Vascular Sc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D2261670) is associated with this NPI, valid through June 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Third Coast Vascular Sc accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Third Coast Vascular Sc 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 Third Coast Vascular Sc was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Third Coast Vascular Sc · NPI 1356085104
Vascular & Interventional Radiology organization in Sheboygan, Wisconsin. Organization record, active in the CMS NPPES registry since April 26, 2022.
## Identity
- **NPI:** 1356085104 (Entity type: Organization)
- **Enumerated:** April 26, 2022
- **Primary specialty:** Radiology - Vascular & Interventional Radiology · taxonomy 2085R0204X
- **Organization subpart:** No
- **Authorized official:** Taha Siders, COO
## Practice location
- **Address:** 1441 N TAYLOR DR, Sheboygan, WI 53081-1989
- **Phone:** (262) 577-0250 · **Fax:** (262) 577-0251
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Certified Registered Nurse Anesthetist (CRNA) (2), Interventional Cardiology (2); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 3, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356085104) · Data from the CMS NPPES public registry.