VASCULAR CLINIC PLLC
NPI 1922896240
Surgery - Vascular Surgery in Lake Mary, FL
About Vascular Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VASCULAR CLINIC PLLC (NPI 1922896240) is a healthcare organization registered as a vascular surgery in Lake Mary, Florida and active in the NPI registry since April 2025. The organization maintains a secondary practice location in Lake Mary and lists Khalil Masabni, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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)
Vascular Clinic Pllc 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 Vascular Clinic PLLC, 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 Vascular Clinic PLLC's NPI number?
The NPI number for Vascular Clinic PLLC is 1922896240. It was assigned to this organization in the NPPES registry on April 28, 2025.
Where is Vascular Clinic PLLC located?
Vascular Clinic PLLC is located at 775 Primera Blvd Ste 1031, Lake Mary, FL 32746. The listed phone number is (561) 957-7555.
What is Vascular Clinic PLLC's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Vascular Clinic PLLC enrolled in Medicare?
Yes. Vascular Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vascular Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Vascular Surgery) reassigns their Medicare billing to Vascular Clinic PLLC. 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 Vascular Clinic PLLC was last updated on January 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Vascular Clinic Pllc · NPI 1922896240
Vascular Surgery organization in Lake Mary, Florida. Organization record, active in the CMS NPPES registry since April 28, 2025.
## Identity
- **NPI:** 1922896240 (Entity type: Organization)
- **Enumerated:** April 28, 2025
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **Organization subpart:** No
- **Authorized official:** Khalil Masabni, MEDICAL DIRECTOR
## Practice location
- **Address:** 775 PRIMERA BLVD STE 1031, Lake Mary, FL 32746-2190
- **Phone:** (561) 957-7555
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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:** January 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1922896240) · Data from the CMS NPPES public registry.