VASCULAR SURGERY ASSOCIATES, PLLC – Vascular Surgery Physician, NPI 1538791793

VASCULAR SURGERY ASSOCIATES, PLLC is a healthcare provider. based in Chicago ridge, Illinois. specializing in Vascular Surgery Physician. The NPI Number for VASCULAR SURGERY ASSOCIATES, PLLC is 1538791793

Main info

Organization
Name
VASCULAR SURGERY ASSOCIATES, PLLC
NPI
1538791793
Phone
(708) 346-9533
Address
10258 SOUTHWEST HWY STE A
Authorized Official
MARTIN IRA ELLENBY MANAGER MD
Enumeration Date
6 February 2020
Last Update Date
27 March 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

Provider Addresses for VASCULAR SURGERY ASSOCIATES, PLLC

  • 10258 SOUTHWEST HWY STE A

    CHICAGO RIDGE, IL 604151361

    Phone: (708) 346-9533

    Fax: (708) 499-4312

    Mailing address matches the actual address.

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: 2020-03-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-08-31 (283 days ago).

Enrollment records

1

Earliest due date

2025-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20200309002184OClinic/Group PracticeIL2025-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

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 60415)

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Reviews

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Frequently asked questions

What identifier follows VASCULAR SURGERY ASSOCIATES, PLLC across health systems?
The NPI 1538791793 uniquely identifies VASCULAR SURGERY ASSOCIATES, PLLC in U.S. healthcare data.
Is VASCULAR SURGERY ASSOCIATES, PLLC currently accepting referrals based on NPI status?
Registry metadata lists VASCULAR SURGERY ASSOCIATES, PLLC as active.
What services align with VASCULAR SURGERY ASSOCIATES, PLLC's listing?
VASCULAR SURGERY ASSOCIATES, PLLC's public classification highlights Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to VASCULAR SURGERY ASSOCIATES, PLLC?
VASCULAR SURGERY ASSOCIATES, PLLC shows a connection to Chicago Ridge, Illinois in registry-derived data.
Why is information missing for VASCULAR SURGERY ASSOCIATES, PLLC?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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