Houston vein and vascular – Vascular & Interventional Radiology Physician, NPI 1114693504
Vascular & Interventional Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Houston vein and vascular
837 Cypress Creek Pkwy Ste 106
Houston, TX 770903422
Phone: (832) 350-7260
Fax: (832) 350-7261
Type: Location
1211 Highway 6 Ste 70B
Sugar Land, TX 774784940
Phone: (832) 350-7260
Fax: (832) 350-7261
Type: Location
5707 JENNY LIND RD
FORT SMITH, AR 729087435
Phone: (479) 452-9416
Fax: (479) 242-1990
Type: Mailing
6565 WEST LOOP S STE 110
BELLAIRE, TX 774013505
Phone: (713) 242-3000
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: 2021-10-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation scheduled
Earliest CMS due date is 2026-10-31 (145 days away).
Enrollment records
1
Earliest due date
2026-10-31
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 |
|---|---|---|---|---|
| O20211004003380 | O | Clinic/Group Practice | TX | 2026-10-31 |
What to do next
- Monitor the published due date as it approaches.
- Plan to revalidate in PECOS within the window CMS allows before the due date.
- Verify the date on the CMS Revalidation Lookup Tool before submitting.
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 77090)
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