Organization Active NPI

USA Vein Clinics of Missouri LLC

  • Vascular Surgery Physician
  • Kansas City, MO
National Provider Identifier
1114632726
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
USA VEIN CLINICS OF MISSOURI LLC
Practice address
9501 N Oak Trafficway
Suite 201C
Kansas City, MO 64155-2201
Phone
(816) 436-7373
NPI assigned
Jan 18, 2023
Last updated
Mar 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Flora Katsnelson, MD
Title
Owner
Phone
(847) 593-8460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

9501 N Oak Trafficway
Suite 201C
Kansas City, MO 64155-2201

Mailing address

PO Box 1602
Northbrook, IL 60065-1602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230214002339 MO Part B Supplier - Clinic/Group Practice 6103298468 Receives reassigned benefits from 3 practitioners
Practice locations: Kansas City, MO; Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

9501 N Oak Trfy
Ste 201C
Kansas City, MO 64155
Phone (816) 436-7373

8790 Watson Rd
Ste 201
Saint Louis, MO 63119
Phone (314) 543-2800

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1114632726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1602",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600651602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 N OAK TRAFFICWAY",
            "address_2": "SUITE 201C",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552201",
            "telephone_number": "816-436-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA VEIN CLINICS OF MISSOURI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "KATSNELSON",
        "authorized_official_first_name": "FLORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-593-8460",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.