ADVANCED VASCULAR INSTITUTE, LLC
NPI 1700640802
Radiology - Vascular & Interventional Radiology in Panama City, FL
About Advanced Vascular Institute, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED VASCULAR INSTITUTE, LLC (NPI 1700640802) is a healthcare organization registered as a vascular & interventional radiology in Panama City, Florida and active in the NPI registry since February 2024. The organization lists Ahmed Aly Farag, Cmo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Advanced Vascular Institute, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Advanced Vascular Institute, LLC, which bills Medicare for the services they deliver. 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 Advanced Vascular Institute, LLC's NPI number?
The NPI number for Advanced Vascular Institute, LLC is 1700640802. It was assigned to this organization in the NPPES registry on February 8, 2024.
Where is Advanced Vascular Institute, LLC located?
Advanced Vascular Institute, LLC is located at 2401 State Ave Ste 100, Panama City, FL 32405. The listed phone number is (502) 262-5980.
What is Advanced Vascular Institute, LLC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.
Is Advanced Vascular Institute, LLC enrolled in Medicare?
Yes. Advanced Vascular Institute, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advanced Vascular Institute, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Advanced Vascular Institute, LLC, in Interventional Radiology and Physical Therapist in Private Practice. 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 Advanced Vascular Institute, LLC was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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 Institute, Llc · NPI 1700640802
Vascular & Interventional Radiology organization in Panama City, Florida. Organization record, active in the CMS NPPES registry since February 8, 2024.
## Identity
- **NPI:** 1700640802 (Entity type: Organization)
- **Enumerated:** February 8, 2024
- **Primary specialty:** Radiology - Vascular & Interventional Radiology · taxonomy 2085R0204X
- **Organization subpart:** No
- **Authorized official:** Ahmed Farag, CMO
## Practice location
- **Address:** 2401 STATE AVE STE 100, Panama City, FL 32405-3942
- **Phone:** (502) 262-5980
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (2), Interventional Radiology (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1700640802) · Data from the CMS NPPES public registry.