ENDOVASCULAR PHYSICIANS OF MICHIGAN PC
NPI 1558149690
Surgery - Vascular Surgery in Houghton Lake, MI

Active since September 19, 2023
5213 W HOUGHTON LAKE DR, HOUGHTON LAKE, MI 48629(989) 302-4800 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Endovascular Physicians Of Michigan Pc NPPES

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

ENDOVASCULAR PHYSICIANS OF MICHIGAN PC (NPI 1558149690) is a healthcare organization registered as a vascular surgery in Houghton Lake, Michigan and active in the NPI registry since September 2023. The organization lists Omar Haqqani, Owner, as its authorized official.

NPPES Registry Identity

NPI1558149690
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameENDOVASCULAR PHYSICIANS OF MICHIGAN PC
Location Address5213 W HOUGHTON LAKE DRHoughton Lake, MI 48629-8214
Mailing Address5213 W Houghton Lake DrHoughton Lake, MI 48629-8214 · (989) 302-4800
Organization SubpartNo
Authorized OfficialOmar HaqqaniOwner · (989) 302-4800
Enumeration DateSeptember 19, 2023
Last NPPES UpdateOctober 9, 2023
NPPES CertifiedOctober 9, 2023
✔ NPI 1558149690 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.
5213 W HOUGHTON LAKE DR, Houghton Lake, MI 48629

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

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)

Endovascular Physicians Of Michigan Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Endovascular Physicians Of Michigan PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Vascular Surgery
NPI 1932369618
2125 RIDGEWOOD DR
Midland, MI 48642
(989) 254-6427
✔ PECOS✔ Accepts Medicare55 mi
Cardiovascular Disease (Cardiology)
NPI 1770552648
1210 CLARK ST
Cambridge, OH 43725
(740) 435-2700
✔ PECOS✔ Accepts Medicare336 mi
Thoracic Surgery
NPI 1477538601
3400 SPRUCE STR. 6 SILVERSTEIN
Philadelphia, PA 19104
(215) 662-2050
✔ PECOS✔ Accepts Medicare575 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 Endovascular Physicians Of Michigan PC's NPI number?

The NPI number for Endovascular Physicians Of Michigan PC is 1558149690. It was assigned to this organization in the NPPES registry on September 19, 2023.

Where is Endovascular Physicians Of Michigan PC located?

Endovascular Physicians Of Michigan PC is located at 5213 W Houghton Lake Dr, Houghton Lake, MI 48629. The listed phone number is (989) 302-4800.

What is Endovascular Physicians Of Michigan PC's specialty?

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

Is Endovascular Physicians Of Michigan PC enrolled in Medicare?

Yes. Endovascular Physicians Of Michigan PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Endovascular Physicians Of Michigan PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Endovascular Physicians Of Michigan PC, in Cardiovascular Disease (Cardiology), Thoracic Surgery and Vascular Surgery. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Endovascular Physicians Of Michigan PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Endovascular Physicians Of Michigan PC 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 Endovascular Physicians Of Michigan PC was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.