Active NPI
Kirkwood Vascular and Surgical Institute, LLC
- Ambulatory Surgical Clinic/Center
- Kirkwood, MO
National Provider Identifier
1033090964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- KIRKWOOD VASCULAR AND SURGICAL INSTITUTE, LLC
- Practice address
- 1028 S Kirkwood Rd
Kirkwood, MO 63122-7222 - Phone
- (417) 447-4484
- NPI assigned
- Sep 9, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Olaguoke Akinwande, MD
- Title
- Owner/Authorized Official
- Phone
- (417) 447-4484
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1028 S Kirkwood Rd
Kirkwood, MO 63122-7222
Mailing address
1028 S Kirkwood Rd
Kirkwood, MO 63122-7222
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2334925 | Kirkwood Vascular & Surgical Institute, LLC | Certificate of waiver | Dec 2, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757376000000",
"number": "1033090964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1028 S KIRKWOOD RD",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631227222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 S KIRKWOOD RD",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631227222",
"telephone_number": "417-447-4484"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIRKWOOD VASCULAR AND SURGICAL INSTITUTE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-09",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A",
"authorized_official_last_name": "AKINWANDE",
"authorized_official_first_name": "OLAGUOKE",
"authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "417-447-4484",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.