GENERAL AND VASCULAR SURGERY OF ENNIS PA
NPI 1679564124
Surgery in Ennis, TX

Q: What is General And Vascular Surgery Of Ennis PA's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since November 03, 2005

802 W LAMPASAS ST, ENNIS, TX 75119(972) 878-4700(972) 878-2238 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 14, 2024, Jul 21, 2022 (2 updates tracked since 2022).

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About General And Vascular Surgery Of Ennis Pa NPPES

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

GENERAL AND VASCULAR SURGERY OF ENNIS PA (NPI 1679564124) is a healthcare organization registered as a surgery in Ennis, Texas and active in the NPI registry since November 2005. The organization lists John M Sullivan, Owner, as its authorized official.

NPPES Registry Identity

NPI1679564124

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameGENERAL AND VASCULAR SURGERY OF ENNIS PA

Location Address802 W LAMPASAS STEnnis, TX 75119-4500

Mailing Address802 W Lampasas StEnnis, TX 75119-4500 · (972) 878-4700 · Fax (972) 878-2238

Phone(972) 878-4700

Fax(972) 878-2238

Organization SubpartNo

Authorized OfficialJohn M SullivanOwner · (972) 878-4700

Enumeration DateNovember 3, 2005

Last NPPES UpdateJune 14, 20242 updates tracked since enumeration

NPPES CertifiedJune 14, 2024

✔ NPI 1679564124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

802 W LAMPASAS ST, Ennis, TX 75119

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Other Identifiers 2

Other00266VTX · Medicare Ptan

Medicaid159614002TX

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)

General And Vascular Surgery Of Ennis Pa 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 General And Vascular Surgery Of Ennis PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

John Sullivan, MD

General Surgery

NPI 1336132117

802 W LAMPASAS ST
Ennis, TX 75119

(972) 878-4700

✔ 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.

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 General And Vascular Surgery Of Ennis PA's NPI number?

The NPI number for General And Vascular Surgery Of Ennis PA is 1679564124. It was assigned to this organization in the NPPES registry on November 3, 2005.

Where is General And Vascular Surgery Of Ennis PA located?

General And Vascular Surgery Of Ennis PA is located at 802 W Lampasas St, Ennis, TX 75119. The listed phone number is (972) 878-4700.

What is General And Vascular Surgery Of Ennis PA's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is General And Vascular Surgery Of Ennis PA enrolled in Medicare?

Yes. General And Vascular Surgery Of Ennis PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through General And Vascular Surgery Of Ennis PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to General And Vascular Surgery Of Ennis PA. 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 General And Vascular Surgery Of Ennis PA was last updated on June 14, 2024. 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.