Northern Indiana Vascular Institute – Vascular Surgery Physician, NPI 1154832178

Vascular Surgery Physician

Northern Indiana Vascular Institute is a healthcare provider. based in South bend, Indiana. specializing in Vascular Surgery Physician. The NPI Number for Northern Indiana Vascular Institute is 1154832178

Main info

Organization

Name

Northern Indiana Vascular Institute

NPI

1154832178

Phone

Not provided

Address

6301 UNIVERSITY COMMONS STE 230

Authorized Official

SHERY ROUSSARIE CEO

Enumeration Date

17 October 2017

Last Update Date

16 June 2018

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience21

Completeness80

Years active:8State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Northern Indiana Vascular Institute

6301 UNIVERSITY COMMONS STE 230
SOUTH BEND, IN 466351590
Phone:
Type: Mailing
Douglas Road, Mishawaka, Saint Joseph County, Indiana, 46545, United States
MISHAWAKA, IN 465451465
Phone: (574) 236-1888
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 46635)

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Reviews

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Frequently asked questions

How do payers reference Northern Indiana Vascular Institute?

For Northern Indiana Vascular Institute, use NPI 1154832178 as the unique 10-digit identifier.

Active or inactive — what applies to Northern Indiana Vascular Institute?

You should see Northern Indiana Vascular Institute as active in CMS-hosted NPPES data.

What kind of doctor is Northern Indiana Vascular Institute?

Northern Indiana Vascular Institute is associated with Vascular Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.

Is Northern Indiana Vascular Institute located near South Bend?

Northern Indiana Vascular Institute currently maps to South Bend, Indiana in this extract.

Does inactive status remove historical data?

Historical rows can remain visible after status changes — read the dates carefully.