Center for Vein Restoration Ma LLC
A Medicare group practice based in Woburn, MA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 2961734611), with 8 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2961734611
- Provider type
- DME Supplier - Physician - General Practice, DME Supplier - Physician - Thoracic Surgery, DME Supplier - Physician - Vascular Surgery, Part B Supplier - Clinic/Group Practice
- Enrolled in
- MA
- Enrollments
- 4
- Group size
- 6 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 6
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20191106001697 | MA | Part B Supplier - Clinic/Group Practice | 1518523810 |
| O20210311002252 | MA | DME Supplier - Physician - General Practice | 1518523810 |
| O20251212001959 | MA | DME Supplier - Physician - Thoracic Surgery | 1568330603 |
| O20251222000513 | MA | DME Supplier - Physician - Vascular Surgery | 1861360992 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Center for Vein Restoration Ma LLC
- Surgery Physician
- Framingham, MA
- NPI 1518523810
-
Center for Vein Restoration Ma LLC
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Springfield, MA
- NPI 1568330603
-
Center for Vein Restoration Ma LLC
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Woburn, MA
- NPI 1861360992
Practice locations
- Framingham, MA2
- Springfield, MA2
- Woburn, MA2
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Clinicians 8
Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (6).
-
Robert John Anderson, M.D.
- Vascular Surgery Physician
- Kansas City, MO
- NPI 1588656243
-
Fernando F. Illescas, M.D.
- Vascular & Interventional Radiology Physician
- Bloomfield, CT
- NPI 1417933961
-
Pamela Sue Kim
- Surgery Physician
- Stony Brook, NY
- NPI 1669799698
-
Kihan Francis Lee, MD
- Surgery Physician
- Springfield, MA
- NPI 1598704595
-
Ryan Leigh Macdonald, PA
- Surgical Physician Assistant
- Springfield, MA
- NPI 1518324904
-
Christina Z Mollitor, NP
- Adult Health Nurse Practitioner
- Springfield, MA
- NPI 1760814198
-
Khanh Quoc Nguyen, D.O.
- Emergency Medicine Physician
- Silver Spring, MD
- NPI 1780627976
-
Corrine M Russo, PA-C
- Physician Assistant
- Columbia, MD
- NPI 1093236945
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.