Modern Vein Care of Connecticut LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

MODERN VEIN CARE OF CONNECTICUT LLC

Practice address

800 Main St S Ste 110
Southbury, CT 06488-4234

Phone

(203) 723-3505

Fax

(860) 858-4560

NPI assigned

Aug 23, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ka Cheung

Title

Managing Director

Phone

(860) 255-8884

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Prashanth Atluri, M.D

  • Internal Medicine Physician
  • New Haven, CT
  • NPI 1275847949
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1073491569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MAIN ST S STE 110",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064884234",
            "telephone_number": "203-723-3505",
            "fax_number": "860-858-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAIN ST S STE 110",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064884234",
            "telephone_number": "203-723-3505",
            "fax_number": "860-858-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN VEIN CARE OF CONNECTICUT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-23",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "CHEUNG",
        "authorized_official_first_name": "KA",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "860-255-8884"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary Eve Miller, RD, CD-N
• Mary Irene Miller, MD
• Nancy Millian, PSYD
• Mindful Guidance and Counseling LLC
• Alexandra Mitchell, L.AC.
• Debra J Molsick, PT
• Annette Moore, CCC-SLP
• Rachel Moore
• Nicole Moreau, OT
• Lauren Morris

• Vascular Surgery Physician in Southbury, CT
• Providers in Southbury, CT by specialty
• Vascular Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.