VALLEY VASCULAR ASSOCIATES LLC
NPI 1851643654
Surgery - Vascular Surgery in Norwalk, CT

Active since October 04, 2012
91 EAST AVE, NORWALK, CT 06851(203) 855-9806(203) 855-1135 Get Directions Write a Review

NPPES record last updated: October 4, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Valley Vascular Associates Llc NPPES

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

VALLEY VASCULAR ASSOCIATES LLC (NPI 1851643654) is a healthcare organization registered as a vascular surgery in Norwalk, Connecticut and active in the NPI registry since October 2012. The organization lists Chung K Shin, Managing Officer, as its authorized official.

NPPES Registry Identity

NPI1851643654
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameVALLEY VASCULAR ASSOCIATES LLC
Location Address91 EAST AVENorwalk, CT 06851-5020
Mailing Address91 East AveNorwalk, CT 06851-5020 · (203) 855-9806 · Fax (203) 855-1135
Fax(203) 855-1135
Organization SubpartNo
Authorized OfficialChung K ShinManaging Officer · (203) 855-9806
Enumeration DateOctober 4, 2012
✔ NPI 1851643654 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 CT · 037720
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
91 EAST AVE, Norwalk, CT 06851

Other Identifiers 12

Other178311CT · Wellcare
Other2322912CT · Aetna/us Healthcare
Other010037720CT03CT · Anthem -norwalk
Other770002444CT · Medicare Railroad
Medicare UPING92680CT
Medicaid001377200CT
OtherP2061278CT · Oxford
Medicare PIN770000032CT
Other010037720CT02CT · Anthem - Derby
Other3324246-004CT · Cigna
Other010037720CT04CT · Anthem - Bpt
Other037720CT · Connecticare

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Valley Vascular Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 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.

StateEnrollment IDDue date
StateConnecticutEnrollment IDO20121023000723Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Valley Vascular Associates LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vascular Surgery
NPI 1386791143
91 EAST AVE
Norwalk, CT 06851
(203) 855-9806
✔ 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 Valley Vascular Associates LLC's NPI number?

The NPI number for Valley Vascular Associates LLC is 1851643654. It was assigned to this organization in the NPPES registry on October 4, 2012.

Where is Valley Vascular Associates LLC located?

Valley Vascular Associates LLC is located at 91 East Ave, Norwalk, CT 06851. The listed phone number is (203) 855-9806.

What is Valley Vascular Associates LLC's specialty?

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

Is Valley Vascular Associates LLC enrolled in Medicare?

Yes. Valley Vascular Associates LLC is registered in the Medicare PECOS enrollment system.

When is Valley Vascular Associates LLC'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 (Connecticut, Clinic/Group Practice) is due for revalidation by December 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 Valley Vascular Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Vascular Surgery) reassigns their Medicare billing to Valley Vascular Associates LLC. 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 Valley Vascular Associates LLC was last updated on October 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.