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PREMIER VASCULAR CARE PC
NPI 1639443773
Surgery - Vascular Surgery in Rochester Hills, MI

Active since March 07, 2012
1701 SOUTH BLVD E STE B75, ROCHESTER HILLS, MI 48307(248) 243-3935(248) 284-7530 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 7, 2023, Jun 20, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

About Premier Vascular Care Pc NPPES

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

PREMIER VASCULAR CARE PC (NPI 1639443773) is a healthcare organization registered as a vascular surgery in Rochester Hills, Michigan and active in the NPI registry since March 2012. The organization maintains a secondary practice location in Clinton Twp and lists Ajith Kadakol, Physician / Owner, as its authorized official.

NPPES Registry Identity

NPI1639443773
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NamePREMIER VASCULAR CARE PC
Location Address1701 SOUTH BLVD E STE B75Rochester Hills, MI 48307-6122
Mailing Address3205 Legacy CtW Bloomfield, MI 48323-3634 · (583) 573-8030
Phone(248) 243-3935
Fax(248) 284-7530
Organization SubpartNo
Authorized OfficialAjith KadakolPhysician / Owner · (586) 573-8030
Enumeration DateMarch 7, 2012
Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration
✔ NPI 1639443773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in MI · 4301093222
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
1701 SOUTH BLVD E STE B75, Rochester Hills, MI 48307
Open in Google Maps ↗

Secondary Practice Location 1

Location 143211 Dalcoma Dr, NORTH WING SUITE BClinton Twp, MI 48038-6309 · Phone (586) 573-8030

Other Identifiers 3

Other5315045037MI · Controlled Substance License
Other4301093222MI · License
Other1891742128MI · Indv Npi

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 Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Premier Vascular Care PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Ajith Kadakol, M.D.
Vascular Surgery
NPI 1891742128
1701 SOUTH BLVD E STE B75
Rochester Hills, MI 48307
(248) 243-3935
✔ PECOS✔ Accepts Medicare0.1 mi
Sohini Naik
Nurse Practitioner
NPI 1457012619
1701 SOUTH BLVD E
Rochester Hills, MI 48307
(586) 243-3935
✔ PECOS✔ Accepts Medicare0.1 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 Care PC's NPI number?

The NPI number for Premier Vascular Care PC is 1639443773. It was assigned to this organization in the NPPES registry on March 7, 2012.

Where is Premier Vascular Care PC located?

Premier Vascular Care PC is located at 1701 South Blvd E Ste B75, Rochester Hills, MI 48307. The listed phone number is (248) 243-3935.

What is Premier Vascular Care PC's specialty?

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

Is Premier Vascular Care PC enrolled in Medicare?

Yes. Premier Vascular Care PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Vascular Care PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Premier Vascular Care PC, in Nurse Practitioner 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Premier Vascular Care PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Premier Vascular Care 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 Premier Vascular Care PC was last updated on March 7, 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.