Center for Vein Restoration de LLC
Organization Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Wilmington, DE
NPI 1194672014 · NPPES record last updated Mar 11, 2026
Key facts
- NPI
- 1194672014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- Legal business name
- CENTER FOR VEIN RESTORATION DE LLC
- Practice address
- 2055 Limestone Rd Ste 211
Wilmington, DE 19808-5536 - Phone
- (855) 830-8346
- NPI assigned
- Mar 11, 2026
- Organization subpart
- No
Authorized official
- Name
- Lorena Thomas
- Title
- Credentialing Manager
- Phone
- (815) 254-1761
Other NPIs with the same Medicare PAC ID 1
Practitioners 6
-
Ki Jung, DO
-
Richard Lansing Dillon, M.D.
-
Robert T Fried, M.D.
-
Khanh Quoc Nguyen, D.O.
-
Sanjiv Lakhanpal, MD
-
Corrine M Russo, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260318000769 | DE | DME Supplier - Physician - General Practice | 5294139705 | Practice locations: Wilmington, DE |
National Provider Directory
Locations
2055 Limestone Rd
Ste 211
Wilmington, DE 19808
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
208G00000X | Yes |
Addresses
Primary practice location
2055 Limestone Rd Ste 211
Wilmington, DE 19808-5536
Mailing address
7474 Greenway Center Dr Ste 1000
Greenbelt, MD 20770-3500
Phone (855) 830-8346
Other providers in Wilmington, DE
- Center for Interventional Pain Spine LLC
- Center for Interventional Pain Spine LLC
- Center for Interventional Pain Spine LLC
- Center for Spine Surgery LLC
- Center for Trauma Healing and Recovery
- Cep America - Anesthesia PC
- Cep America LLC
- Shareeda Cephas
- Certified Home Nursing Solutions - Delaware Inc
- Dante Cerza
All providers in Wilmington, DE · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.