ADVANCED VASCULAR CENTERS PORTLAND
NPI 1588283154
Radiology - Vascular & Interventional Radiology in Portland, OR
About Advanced Vascular Centers Portland NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED VASCULAR CENTERS PORTLAND (NPI 1588283154) is a healthcare organization registered as a vascular & interventional radiology in Portland, Oregon and active in the NPI registry since April 2020. The organization lists Mary M Costantino, Physician Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Advanced Vascular Centers Portland is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Advanced Vascular Centers Portland, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Pnw Management Group's NPI number?
The NPI number for Pnw Management Group is 1588283154. It was assigned to this organization in the NPPES registry on April 13, 2020. The provider is doing business as Advanced Vascular Centers Portland.
Where is Pnw Management Group located?
Pnw Management Group is located at 6958 SW Varns St, Portland, OR 97223. The listed phone number is (503) 683-7730.
What is Pnw Management Group's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.
Is Pnw Management Group enrolled in Medicare?
Yes. Pnw Management Group is registered in the Medicare PECOS enrollment system.
When is Pnw Management Group's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oregon, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Pnw Management Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Pnw Management Group, in Interventional Radiology 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Pnw Management Group accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Pnw Management Group 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 Pnw Management Group was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Advanced Vascular Centers Portland · NPI 1588283154
Vascular & Interventional Radiology organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since April 13, 2020.
## Identity
- **NPI:** 1588283154 (Entity type: Organization)
- **Enumerated:** April 13, 2020
- **Primary specialty:** Radiology - Vascular & Interventional Radiology · taxonomy 2085R0204X
- **Legal business name:** Pnw Management Group
- **Organization subpart:** No
- **Authorized official:** Mary Costantino, PHYSICIAN OWNER
## Practice location
- **Address:** 6958 SW VARNS ST, Portland, OR 97223-8281
- **Phone:** (503) 683-7730 · **Fax:** (503) 914-0927
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Oregon, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Interventional Radiology (2), Vascular Surgery (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 26, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1588283154) · Data from the CMS NPPES public registry.