FORT WORTH VASCULAR AND SURGICAL ASSOCIATES, PA
NPI 1851668925
Surgery - Vascular Surgery in Fort Worth, TX
About Fort Worth Vascular And Surgical Associates, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FORT WORTH VASCULAR AND SURGICAL ASSOCIATES, PA (NPI 1851668925) is a healthcare organization registered as a vascular surgery in Fort Worth, Texas and active in the NPI registry since November 2011. The organization lists Martha E Providenza, Administration, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Fort Worth Vascular And Surgical Associates, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Fort Worth Vascular And Surgical Associates, PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Fort Worth Vascular And Surgical Associates, PA's NPI number?
The NPI number for Fort Worth Vascular And Surgical Associates, PA is 1851668925. It was assigned to this organization in the NPPES registry on November 17, 2011.
Where is Fort Worth Vascular And Surgical Associates, PA located?
Fort Worth Vascular And Surgical Associates, PA is located at 2737 S Hulen St, Fort Worth, TX 76109. The listed phone number is (817) 332-7544.
What is Fort Worth Vascular And Surgical Associates, PA's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Fort Worth Vascular And Surgical Associates, PA enrolled in Medicare?
Yes. Fort Worth Vascular And Surgical Associates, PA is registered in the Medicare PECOS enrollment system.
When is Fort Worth Vascular And Surgical Associates, PA'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 (Texas, Clinic/Group Practice) is due for revalidation by October 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 Fort Worth Vascular And Surgical Associates, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Vascular Surgery) reassigns their Medicare billing to Fort Worth Vascular And Surgical Associates, 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 Fort Worth Vascular And Surgical Associates, PA was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Fort Worth Vascular And Surgical Associates, Pa · NPI 1851668925
Vascular Surgery organization in Fort Worth, Texas. Organization record, active in the CMS NPPES registry since November 17, 2011.
## Identity
- **NPI:** 1851668925 (Entity type: Organization)
- **Enumerated:** November 17, 2011
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **Organization subpart:** No
- **Authorized official:** Martha Providenza, ADMINISTRATION
## Practice location
- **Address:** 2737 S HULEN ST, Fort Worth, TX 76109-9535
- **Phone:** (817) 332-7544 · **Fax:** (817) 338-9441
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Vascular Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 8, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1851668925) · Data from the CMS NPPES public registry.