NPIMap

Organization Active NPI

USA Vascular Center of Dallas PLLC

  • Vascular Surgery Physician
  • Wylie, TX
National Provider Identifier
1245875061
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
USA VASCULAR CENTER OF DALLAS PLLC
Practice address
2300 W FM 544 Ste B
Wylie, TX 75098-4931
Phone
(847) 593-8460
Fax
(224) 235-4652
NPI assigned
Nov 15, 2019
Last updated
Nov 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Authorized official

Name
Yan Katsnelson, MDNPI 1285672840
Title
Ceo / President
Phone
(847) 593-8460

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X Primary

Addresses

Primary practice location

2300 W FM 544 Ste B
Wylie, TX 75098-4931

Mailing address

PO Box 971
Northbrook, IL 60065-0971
Phone (224) 318-0118

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200429000657 TX Part B Supplier - Clinic/Group Practice 2860822137 Receives reassigned benefits from 19 practitioners
Practice locations: Tomball, TX; San Antonio, TX; Plano, TX; Houston, TX; Fort Worth, TX; Austin, TX; Arlington, TX

National Provider Directory

National Provider Directory

Locations

1017 W Randol Mill Rd
Ste A
Arlington, TX 76012
Phone (682) 712-1256

4000 Five Points Dr
Ste 133D
Arlington, TX 76018

12180 N Mopac Expy
Ste 1A1
Austin, TX 78758
Phone (737) 301-4150

5320 North Tarrant Pkwy
Ste 200A
Fort Worth, TX 76244
Phone (682) 428-4931

6049 S Hulen St
Ste 101A
Fort Worth, TX 76132
Phone (346) 502-2062

16307 FM 529 Rd
Ste A
Houston, TX 77095
Phone (346) 502-2062

6218 Highway 6
Ste Ba
Missouri City, TX 77459
Phone (346) 353-5195

5501 Independence Pkwy
Ste 107A
Plano, TX 75023

2020 Babcock Rd
Ste 12A
San Antonio, TX 78229
Phone (726) 200-7458

22625 Tomball Pkwy
Ste 450A
Tomball, TX 77375
Phone (281) 661-5076

2300 W FM 544
Ste B
Wylie, TX 75098

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": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573776000000",
    "number": "1245875061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 971",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600650971",
            "telephone_number": "224-318-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W FM 544 STE B",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984931",
            "telephone_number": "847-593-8460",
            "fax_number": "224-235-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA VASCULAR CENTER OF DALLAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A",
        "authorized_official_last_name": "KATSNELSON",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "847-593-8460",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.