Restore Vascular PLLC
NPI 1396452611 · Phlebology Physician · Queen Creek, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Restore Vascular PLLC is a Phlebology Physician organization in Queen Creek, AZ (NPI 1396452611).
Provider details
- NPI number
- 1396452611
- Entity type
- Organization
- Primary specialty
- Phlebology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nathan Weller, Owner(480) 874-6808
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Suppliers
Allopathic & Osteopathic Physicians
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
- Chiropractor111N00000X
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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)
- 9200 W Union Hills Dr Ste 103Peoria, AZ 85382-8210Phone: (480) 442-3990
- 7555 E Osborn Rd Ste 104Scottsdale, AZ 85251-6468Phone: (480) 442-3990
Registry dates
- Enumerated
- 2022-11-07
- Last updated
- 2023-08-29
- Certified
- 2023-08-29
Frequently asked questions
- What is Restore Vascular PLLC's NPI number?
- Restore Vascular PLLC's National Provider Identifier (NPI) is 1396452611, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Restore Vascular PLLC?
- Restore Vascular PLLC is classified in the NPPES registry as Phlebology Physician (Allopathic & Osteopathic Physicians).
- Where is Restore Vascular PLLC located?
- Restore Vascular PLLC's practice location on file with NPPES is 18510 E San Tan Blvd Ste 115, Queen Creek, AZ 85142-2206.
- What is Restore Vascular PLLC's phone number?
- The practice phone number listed in the NPPES registry for Restore Vascular PLLC is (480) 442-3990.
- Does Restore Vascular PLLC accept Medicare?
- Restore Vascular PLLC 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 Restore Vascular PLLC?
- The authorized official listed on Restore Vascular PLLC's NPPES record is Nathan Weller, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Restore Vascular PLLC's NPI active?
- Yes — Restore Vascular PLLC's NPI (1396452611) is active in the NPPES registry as of the last update on 2023-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.