VASCULAR AND EMBOLIZATION SPECIALISTS PLLC
NPI 1629846910
Radiology - Vascular & Interventional Radiology in Cocoa, FL

Q: What is Vascular And Embolization Specialists PLLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Active since December 15, 2023

2300 STATE ROAD 524 STE 106, COCOA, FL 32926(321) 321-3001(321) 321-4001 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Vascular And Embolization Specialists Pllc NPPES

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

VASCULAR AND EMBOLIZATION SPECIALISTS PLLC (NPI 1629846910) is a healthcare organization registered as a vascular & interventional radiology in Cocoa, Florida and active in the NPI registry since December 2023. The organization lists Derek Mittleider, Owner, as its authorized official.

NPPES Registry Identity

NPI1629846910

Entity TypeOrganization

Primary Taxonomy2085R0204X

Legal Business NameVASCULAR AND EMBOLIZATION SPECIALISTS PLLC

Location Address2300 STATE ROAD 524 STE 106Cocoa, FL 32926-5894

Mailing Address2300 State Road 524 Ste 106Cocoa, FL 32926-5894 · (321) 321-3001 · Fax (321) 321-4001

Phone(321) 321-3001

Fax(321) 321-4001

Organization SubpartNo

Authorized OfficialDerek MittleiderOwner · (207) 749-9036

Enumeration DateDecember 15, 2023

NPPES CertifiedDecember 15, 2023

✔ NPI 1629846910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

2300 STATE ROAD 524 STE 106, Cocoa, FL 32926

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vascular And Embolization Specialists Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vascular And Embolization Specialists PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Derek Mittleider, M.D.

Interventional Radiology

NPI 1538234414

2300 STATE ROAD 524 STE 106
Cocoa, FL 32926

(321) 321-3001

✔ PECOS✔ Accepts MedicareSame address

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 10D2312377

Vascular And Embolization Specialists, PLLC · Cocoa, FL

Expired · Oct 9, 2026

CLIA Number10D2312377

Laboratory TypePhysician Office

Certificate Effective DateOctober 10, 2024

Certificate Expiration DateOctober 9, 2026

Laboratory DirectorDerek Mittleider

Laboratory Phone(321) 468-2300

Laboratory LocationVascular And Embolization Specialists, PLLC2300 Fl-524 Suite 106, Cocoa, FL 32926

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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 Vascular And Embolization Specialists PLLC's NPI number?

The NPI number for Vascular And Embolization Specialists PLLC is 1629846910. It was assigned to this organization in the NPPES registry on December 15, 2023.

Where is Vascular And Embolization Specialists PLLC located?

Vascular And Embolization Specialists PLLC is located at 2300 State Road 524 Ste 106, Cocoa, FL 32926. The listed phone number is (321) 321-3001.

What is Vascular And Embolization Specialists PLLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Vascular And Embolization Specialists PLLC enrolled in Medicare?

Yes. Vascular And Embolization Specialists PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vascular And Embolization Specialists PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Radiology) reassigns their Medicare billing to Vascular And Embolization Specialists PLLC. 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.

When was this NPI record last updated?

The NPPES record for Vascular And Embolization Specialists PLLC was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.