Southeastern Vascular, P.C.
NPI 1205866274 · Vascular Surgery Physician · Hyannis, MA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southeastern Vascular, P.C. is a Vascular Surgery Physician organization in Hyannis, MA (NPI 1205866274).
Provider details
- NPI number
- 1205866274
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lynn Ellinwood, Practice Manager(508) 775-1984
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Other names (DBA / former)
- Former legal business name
- Southeastern Surgical Associates PC
Additional practice locations (2)
- 800 Falmouth Rd Ste 102aMashpee, MA 02649-3363Phone: (508) 775-1984
- 20 Indian Hill RoadWest Tisbury, MA 02568Phone: (508) 775-1984
Registry dates
- Enumerated
- 2006-07-04
- Last updated
- 2021-08-30
- Certified
- 2021-08-30
Frequently asked questions
- What is Southeastern Vascular, P.C.'s NPI number?
- Southeastern Vascular, P.C.'s National Provider Identifier (NPI) is 1205866274, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeastern Vascular, P.C.?
- Southeastern Vascular, P.C. is classified in the NPPES registry as Vascular Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Southeastern Vascular, P.C. located?
- Southeastern Vascular, P.C.'s practice location on file with NPPES is 100 Camp St, Hyannis, MA 02601-3007.
- What is Southeastern Vascular, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Southeastern Vascular, P.C. is (508) 775-1984.
- Does Southeastern Vascular, P.C. accept Medicare?
- Southeastern Vascular, P.C. 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 Southeastern Vascular, P.C.?
- The authorized official listed on Southeastern Vascular, P.C.'s NPPES record is Lynn Ellinwood, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeastern Vascular, P.C.'s NPI active?
- Yes — Southeastern Vascular, P.C.'s NPI (1205866274) is active in the NPPES registry as of the last update on 2021-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.