THIRD COAST VASCULAR ASC LLC
NPI 1952003618
Clinic/Center - Ambulatory Surgical in Sheboygan, WI

Active since March 20, 2023
1441 N TAYLOR DR, SHEBOYGAN, WI 53081(262) 577-0250(262) 577-0251 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Third Coast Vascular Asc Llc NPPES

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

THIRD COAST VASCULAR ASC LLC (NPI 1952003618) is a healthcare organization registered as an ambulatory surgical in Sheboygan, Wisconsin and active in the NPI registry since March 2023. The organization lists Taha Siders, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1952003618
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameTHIRD COAST VASCULAR ASC LLC
Location Address1441 N TAYLOR DRSheboygan, WI 53081-1989
Mailing Address2500 W Layton Ave Ste 40Milwaukee, WI 53221-5420 · (262) 577-0250
Fax(262) 577-0251
Organization SubpartNo
Authorized OfficialTaha SidersChief Operating Officer · (262) 577-0250
Enumeration DateMarch 20, 2023
NPPES CertifiedMarch 20, 2023
✔ NPI 1952003618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1441 N TAYLOR DR, Sheboygan, WI 53081

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Third Coast Vascular Asc Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Third Coast Vascular ASC LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Ophthalmology
NPI 1750358693
1442 N 31ST ST
Sheboygan, WI 53081
(920) 452-5400
✔ PECOS✔ Accepts Medicare0.1 mi
Ophthalmology
NPI 1609184365
1442 N 31ST ST
Sheboygan, WI 53081
(920) 452-5400
✔ PECOS✔ Accepts Medicare0.1 mi
Interventional Radiology
NPI 1649387846
2500 W LAYTON AVE STE 40
Milwaukee, WI 53221
(262) 577-0250
✔ PECOS✔ Accepts Medicare56 mi

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 Third Coast Vascular ASC LLC's NPI number?

The NPI number for Third Coast Vascular ASC LLC is 1952003618. It was assigned to this organization in the NPPES registry on March 20, 2023.

Where is Third Coast Vascular ASC LLC located?

Third Coast Vascular ASC LLC is located at 1441 N Taylor Dr, Sheboygan, WI 53081. The listed phone number is (262) 577-0250.

What is Third Coast Vascular ASC LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Third Coast Vascular ASC LLC enrolled in Medicare?

Yes. Third Coast Vascular ASC LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Third Coast Vascular ASC LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Third Coast Vascular ASC LLC, in Interventional Radiology and Ophthalmology. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Third Coast Vascular ASC LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Third Coast Vascular ASC LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Third Coast Vascular ASC LLC was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.