Individual provider Active NPI

Vyacheslav I Makler, D.O.

  • Neurological Surgery Physician
  • Springfield, MO
National Provider Identifier
1164472841
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
2025021089 Issued in MO
Practice address
3801 S National Ave Ste 700
Springfield, MO 65807-5210
Phone
(417) 885-3888
Fax
(417) 881-7216
NPI assigned
May 11, 2006
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9102602 FL
Student in an Organized Health Care Education/Training Program 390200000X
Neurological Surgery Physician 207T00000X 2025021089 MO Primary
Neurological Surgery Physician 207T00000X UO6947 FL
Neurological Surgery Physician 207T00000X 0102206614 VA

Addresses

Primary practice location

3801 S National Ave Ste 700
Springfield, MO 65807-5210

Mailing address

1414 E Primrose St Ste 100
Springfield, MO 65804-4283
Phone (417) 885-3888

Other identifiers 2

IdentifierTypeStateIssuer
200030083MedicaidMO
292065400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220725001394 VA Practitioner - Neurosurgery 5193770147 Reassigns benefits to 3 organizations
I20251007001439 MO Practitioner - Neurosurgery 5193770147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Rocky Vista University College of Osteopathic Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3801 S National Ave
Suite 700
Springfield, MO 65807-5210
Phone (417) 885-3888

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
UO6947FLMDNeurological Surgery Physician
2025021089MOMDNeurological Surgery Physician
0102206614VAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Regional Medical Group CurrentSince Jun 1, 2022 Accepting new patients
Springfield Neurological and Spine Institute Neurological Surgery CurrentSince Sep 1, 2025 Accepting new patients
Mary Washington Healthcare Physicians Neurological Surgery CurrentSince Nov 15, 2022 Accepting new patients
Springfield Neurological and Spine Institute Neurological Surgery CurrentSince Sep 1, 2025 Accepting new patients
Chesapeake Regional Medical Group CurrentSince Jun 1, 2022 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Nov 15, 2022 Accepting new patients
Mary Washington Healthcare Providers LLC Neurological Surgery CurrentSince Apr 21, 2025 Accepting new patients
Springfield Neurological Institute, L.L.C. Neurological Surgery PastSince Nov 7, 2025 Accepting new patients
Springfield Neurological and Spine Institute Neurological Surgery PastSince Nov 7, 2025 Accepting new patients

Locations

2900 S National Ave
Springfield, MO 65804
Phone (417) 269-1499

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

3801 S National Ave
Ste 700
Springfield, MO 65807
Phone (417) 882-1207

300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

1101 Sam Perry Blvd
Ste 314
Fredericksburg, VA 22401
Phone (540) 374-3200

1101 Sam Perry Blvd
Ste 400
Fredericksburg, VA 22401
Phone (540) 741-2865

Interoperability endpoints

  • Direct secure messaging: vyacheslav.makler.1@5072.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1164472841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 E PRIMROSE ST STE 100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044283",
            "telephone_number": "417-885-3888",
            "fax_number": "417-881-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S NATIONAL AVE STE 700",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075210",
            "telephone_number": "417-885-3888",
            "fax_number": "417-881-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKLER",
        "first_name": "VYACHESLAV",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9102602",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MO",
            "license": "2025021089",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "UO6947",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "VA",
            "license": "0102206614",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200030083",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292065400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.