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DFW VASCULAR GROUP LLP
NPI 1467585786
Surgery - Vascular Surgery in Desoto, TX

Active since March 14, 2007CLIA 45D2032200 · Waiver
2801 BOLTON BOONE DR STE 105, DESOTO, TX 75115(972) 296-2122 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2025, Nov 8, 2023, Jan 19, 2023 (3 updates tracked since 2023).

About Dfw Vascular Group Llp NPPES

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

DFW VASCULAR GROUP LLP (NPI 1467585786) is a healthcare organization registered as a vascular surgery in Desoto, Texas and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through November 6, 2027, maintains a secondary practice location in Arlington, and lists Joseph M Caruso, Partner, as its authorized official.

NPPES Registry Identity

NPI1467585786
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameDFW VASCULAR GROUP LLP
Location Address2801 BOLTON BOONE DR STE 105Desoto, TX 75115-2041
Mailing Address2801 Bolton Boone Dr Ste 105Desoto, TX 75115-2041 · (972) 296-2122 · Fax (972) 296-2522
Phone(972) 296-2122
Organization SubpartNo
Authorized OfficialJoseph M CarusoPartner · (214) 946-5165
Enumeration DateMarch 14, 2007
Last NPPES UpdateAugust 14, 20253 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
✔ NPI 1467585786 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.
2801 BOLTON BOONE DR STE 105, Desoto, TX 75115
Open in Google Maps ↗

Secondary Practice Location 1

Location 1515 W Mayfield Rd Ste 416Arlington, TX 76014-2085 · Phone (817) 375-0300

Other Identifiers 4

OtherTXB145801TX · Medicare Pin
Other0045PSTX · Bcbs
OtherDG3237TX · Railroad Medicare
Other00X866TX · Medicare Pin

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 45D2032200

Dfw Vascular Group · Desoto, TX
Active · expires Nov 6, 2027
CLIA Number45D2032200
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2025
Certificate Expiration DateNovember 6, 2027
Laboratory DirectorSam S. Ahn
Laboratory Phone(214) 946-5165
Laboratory LocationDfw Vascular Group2801 Bolton Boone, Suite 105, Desoto, TX 75115
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PABLO V UCEDA MD
Surgery
2801 BOLTON BOONE DR STE 105
DESOTO, TX 75115
Dallas County (214) 946-5165
SEANNA R DAVES MD
Internal Medicine
2801 BOLTON BOONE DR STE 105
DESOTO, TX 75115
Dallas County (214) 946-5165

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 Dfw Vascular Group LLP's NPI number?

The NPI number for Dfw Vascular Group LLP is 1467585786. It was assigned to this organization in the NPPES registry on March 14, 2007.

Where is Dfw Vascular Group LLP located?

Dfw Vascular Group LLP is located at 2801 Bolton Boone Dr Ste 105, Desoto, TX 75115. The listed phone number is (972) 296-2122.

What is Dfw Vascular Group LLP's specialty?

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

Does Dfw Vascular Group LLP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2032200) is associated with this NPI, valid through November 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dfw Vascular Group LLP accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Dfw Vascular Group LLP 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 Dfw Vascular Group LLP was last updated on August 14, 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.