Dominion Vascular Surgical Specialists
NPI 1134966286 · Vascular Surgery Physician · Lake Mary, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dominion Vascular Surgical Specialists is a Vascular Surgery Physician organization in Lake Mary, FL (NPI 1134966286).
Provider details
- NPI number
- 1134966286
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Olubunmi Esan, Dr.(347) 829-0399
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 917 Rinehart Rd Ste 2041Lake Mary, FL 32746-4806Phone: (347) 829-0399
- 1691 Mayo DrTavares, FL 32778-4301Phone: (040) 754-3641
Registry dates
- Enumerated
- 2024-07-15
- Last updated
- 2024-12-16
- Certified
- 2024-12-16
Frequently asked questions
- What is Dominion Vascular Surgical Specialists's NPI number?
- Dominion Vascular Surgical Specialists's National Provider Identifier (NPI) is 1134966286, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dominion Vascular Surgical Specialists?
- Dominion Vascular Surgical Specialists is classified in the NPPES registry as Vascular Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Dominion Vascular Surgical Specialists located?
- Dominion Vascular Surgical Specialists's practice location on file with NPPES is 1355 S International Pkwy Ste 1491, Lake Mary, FL 32746-1694.
- What is Dominion Vascular Surgical Specialists's phone number?
- The practice phone number listed in the NPPES registry for Dominion Vascular Surgical Specialists is (040) 754-3641.
- Does Dominion Vascular Surgical Specialists accept Medicare?
- Dominion Vascular Surgical Specialists is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dominion Vascular Surgical Specialists?
- The authorized official listed on Dominion Vascular Surgical Specialists's NPPES record is Olubunmi Esan, Dr.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dominion Vascular Surgical Specialists's NPI active?
- Yes — Dominion Vascular Surgical Specialists's NPI (1134966286) is active in the NPPES registry as of the last update on 2024-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.