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PREMIER VASCULAR, LLC
NPI 1366890782
Internal Medicine - Interventional Cardiology in Merrionette Park, IL

Active since May 26, 2016
11560 S KEDZIE AVE, MERRIONETTE PARK, IL 60803(708) 478-3600(708) 478-3553 Get Directions Write a Review

NPPES record last updated: October 25, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 25, 2016, Sep 28, 2016 (2 updates tracked since 2016).

About Premier Vascular, Llc NPPES

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

PREMIER VASCULAR, LLC (NPI 1366890782) is a healthcare organization registered as an interventional cardiology in Merrionette Park, Illinois and active in the NPI registry since May 2016. The organization lists Mark Berlin, Coo, as its authorized official.

NPPES Registry Identity

NPI1366890782
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NamePREMIER VASCULAR, LLC
Location Address11560 S KEDZIE AVEMerrionette Park, IL 60803-4517
Mailing Address11560 S Kedzie AveMerrionette Park, IL 60803-4517 · (708) 972-7525 · Fax (708) 972-7526
Phone(708) 478-3600
Fax(708) 478-3553
Organization SubpartNo
Authorized OfficialMark BerlinCoo · (708) 478-3600
Enumeration DateMay 26, 2016
Last NPPES UpdateOctober 25, 20162 updates tracked since enumeration
✔ NPI 1366890782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X
11560 S KEDZIE AVE, Merrionette Park, IL 60803
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Other Identifiers 1

OtherF100329328IL · Medicare Ptan

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)

Premier Vascular, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Premier Vascular, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Kurt Erickson, M.D.
Interventional Cardiology
NPI 1033173125
11560 S KEDZIE AVE STE 100
Merrionette Park, IL 60803
(708) 824-1114
✔ PECOS✔ Accepts MedicareSame address
James Sur, M.D.
Interventional Cardiology
NPI 1447450788
11560 S KEDZIE AVE STE 100
Merrionette Park, IL 60803
(708) 824-1114
✔ PECOS✔ Accepts MedicareSame address
Robert Iaffaldano, M.D.
Interventional Cardiology
NPI 1043274145
13011 S 104TH AVE STE 100
Palos Park, IL 60464
(708) 274-3278
✔ PECOS✔ Accepts Medicare9.1 mi
Dominick Stella, M.D.
Interventional Cardiology
NPI 1932163623
13011 S 104TH AVE STE 100
Palos Park, IL 60464
(708) 274-3278
✔ PECOS✔ Accepts Medicare9.1 mi
Naveed Iqbal, MD
Interventional Cardiology
NPI 1346458189
3231 EUCLID AVE STE 201
Berwyn, IL 60402
(708) 783-2055
✔ PECOS✔ Accepts Medicare11 mi
Charles Kinder, M.D.
Cardiac Electrophysiology
NPI 1346204518
3231 EUCLID AVE STE 201
Berwyn, IL 60402
(708) 783-2055
✔ PECOS✔ Accepts Medicare11 mi
Ronald Stella, M.D.
Interventional Cardiology
NPI 1821052093
3231 EUCLID AVE STE 201
Berwyn, IL 60402
(708) 783-2055
✔ PECOS✔ Accepts Medicare11 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 Premier Vascular, LLC's NPI number?

The NPI number for Premier Vascular, LLC is 1366890782. It was assigned to this organization in the NPPES registry on May 26, 2016.

Where is Premier Vascular, LLC located?

Premier Vascular, LLC is located at 11560 S Kedzie Ave, Merrionette Park, IL 60803. The listed phone number is (708) 478-3600.

What is Premier Vascular, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Premier Vascular, LLC enrolled in Medicare?

Yes. Premier Vascular, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Vascular, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Premier Vascular, 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 Interventional Cardiology (6) and Cardiac Electrophysiology (1). Of these, 2 practice at this address and 4 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 Premier Vascular, LLC was last updated on October 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.