Premier Vascular and Interventional – Vascular & Interventional Radiology Physician, NPI 1801437041
Vascular & Interventional Radiology Physician
Main info
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Premier Vascular and Interventional
7301A West Palmetto Road
Ste. 200C
Boca Raton, FL 334333466
Phone: (561) 894-1370
Fax: (561) 894-1372
Type: Location
4205 W Atlantic Ave Ste 102
Delray Beach, FL 334453901
Phone: (561) 894-1370
Fax: (561) 894-1372
Type: Location
12953 Palms West Dr Ste 202
Loxahatchee, FL 334704992
Phone: (561) 894-1370
Fax: (561) 894-1372
Type: Location
8495, Southwest 56th Street, Miami-Dade County, Florida, 33155, United States
MIAMI, FL 331555426
Phone: (786) 547-7655
Type: Location
7556 LAKE WORTH RD STE 103
LAKE WORTH, FL 334672503
Phone: (561) 894-1370
Fax: (561) 894-1372
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-10-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-07-31 (53 days away).
Enrollment records
1
Earliest due date
2026-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20201029000580 | O | Clinic/Group Practice | FL | 2026-07-31 |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33433)
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