COASTAL VASCULAR INSTITUTE, PA
COASTAL VASCULAR INSTITUTE, PA is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1578656773, based in Wilmington, NC. The organization lists 2 taxonomy classifications, with Vascular Surgery Physician recorded as primary.
Getting there
The practice address on file is 1411 PHYSICIANS DRIVE, Wilmington, NC 28401. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| CERTIFICATE # 40958 | NC | Vascular Surgery Physician primary |
| CERTIFICATE # 40958 | NC | Surgery Physician |
| 40958 | NC | Surgery Physician |
| 40958 | NC | Vascular Surgery Physician |
This provider holds licence CERTIFICATE # 40958 issued in NC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 4486633005
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| North Carolina | O20040716001068 | Part B Supplier - Clinic/group Practice |
| North Carolina | O20170918003811 | Dme Supplier - Physician - General Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Vascular Surgery covers
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. NUCC Health Care Provider Taxonomy, code 2086S0129X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2086S0129X | Vascular Surgery Physician Vascular Surgery | CERTIFICATE # 40958 | NC | primary |
| 208600000X | Surgery Physician | CERTIFICATE # 40958 | NC | |
| 208600000X | Surgery Physician | 40958 | NC | |
| 2086S0129X | Vascular Surgery Physician Vascular Surgery | 40958 | NC |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1578656773 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Oct 2, 2006 |
| Last updated | Apr 25, 2023 |
| Status | Active |
| Practice address |
1411 PHYSICIANS DRIVE Wilmington, NC 28401 (910) 343-0811 Fax (910) 343-5719 |
| Other identifiers |
79-0271C
· Medicaid (NC) 142384 · Other (NC) 0271C · Other (NC) 0271C · Other (NC) CB0557 · Other (NC) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 7 | 8 | 6 | 5 | 6 | 7 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 5 | 8 | 3 | 5 | 3 | 7 | 5 |
Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.