NPIMap

Organization Active NPI

Center for Vein Restoration NC PLLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Greensboro, NC
National Provider Identifier
1083363881
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
CENTER FOR VEIN RESTORATION NC PLLC
Doing business as
Center for Vein Restoration NC PLLC
Practice address
510 N Elam Ave Ste 305
Greensboro, NC 27403-1150
Phone
(855) 830-8346
Fax
(240) 473-4321
NPI assigned
Mar 21, 2022
Last updated
Apr 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Sanjiv Lakhanpal, MDNPI 1124074083
Title
President
Phone
(855) 830-8346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

510 N Elam Ave Ste 305
Greensboro, NC 27403-1150

Mailing address

7474 Greenway Center Dr Ste 1000
Greenbelt, MD 20770-3500
Phone (855) 830-8346

Other names 1

  • Center for Vein Restoration NC PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220602003164 NC Part B Supplier - Clinic/Group Practice 9638557622 Receives reassigned benefits from 20 practitioners
Practice locations: Cary, NC; Winston Salem, NC; Pinehurst, NC; Greensboro, NC; Gastonia, NC; Durham, NC; Charlotte, NC
O20240214003958 NC DME Supplier - Physician - Thoracic Surgery 9638557622 Practice locations: Greensboro, NC

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

7474 Greenway Center Dr
Ste 100
Greenbelt, MD 20770
Phone (301) 441-9696

115 Crescentcommons Dr
Ste 200
Cary, NC 27518
Phone (919) 851-5000

15825 Ballantyne Medical Pl
Ste 240
Charlotte, NC 28277
Phone 3019822000190

1130 New Garden Rd
Greensboro, NC 27410
Phone (336) 218-8346

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1083363881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7474 GREENWAY CENTER DR STE 1000",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703500",
            "telephone_number": "855-830-8346",
            "fax_number": "240-473-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N ELAM AVE STE 305",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031150",
            "telephone_number": "855-830-8346",
            "fax_number": "240-473-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR VEIN RESTORATION NC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "LAKHANPAL",
        "authorized_official_first_name": "SANJIV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-830-8346",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Vein Restoration NC PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center for Vein Restoration NC PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.