Yan Katsnelson, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

036105104 Issued in IL

Practice address

800 Biesterfield Rd
Suite 201
Elk Grove Village, IL 60007-3311

Phone

(847) 593-8460

Fax

(847) 593-8604

NPI assigned

Jun 3, 2006

Last updated

Oct 13, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL, MA, NY, WA, GA, FL, PA7 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 7

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 43)

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.

• Congress Vein Clinic LLC

  • Trauma Surgery Physician
  • Chicago, IL
  • NPI 1467986901
  Medicare reassignment NPD Authorized official
• North Shore Vein Clinics LLC

  • Vascular Surgery Physician
  • Northbrook, IL
  • NPI 1841547098
  Medicare reassignment NPD Authorized official
• Northwest Vein Clinics LLC

  • Vascular Surgery Physician
  • Elk Grove Village, IL
  • NPI 1578810651
  Medicare reassignment NPD Authorized official
• USA Vascular Centers of Chicago, LLC

  • Vascular Surgery Physician
  • Northbrook, IL
  • NPI 1174995674
  Medicare reassignment NPD Authorized official
• Vein Clinics of Chicago LLC

  • Vascular Surgery Physician
  • Chicago, IL
  • NPI 1386904621
  Medicare reassignment NPD Authorized official
• Atlanta Laser Vein Institute, LLC

  • Vascular Surgery Physician
  • Marietta, GA
  • NPI 1245638998
  Medicare reassignment NPD Authorized official
• Bushwick Professional Medical Services of New York LLC

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1003393299
  Medicare reassignment NPD Authorized official
• Framingham Vein Clinic, LLC

  • Vascular Surgery Physician
  • Framingham, MA
  • NPI 1184081697
  Medicare reassignment NPD Authorized official
• Mott Haven Professional Medical of New York LLC

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1922525781
  Medicare reassignment NPD Authorized official
• New York Professional Medical Services LLC

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1639518848
  Medicare reassignment NPD Authorized official
• Norwood Professional Medical Services of New York LLC

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1528547312
  Medicare reassignment NPD Authorized official
• Queens Professional Medical Services of New York LLC

  • Vascular Surgery Physician
  • Forest Hills, NY
  • NPI 1184138091
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1285672840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600650451",
            "telephone_number": "847-593-8460",
            "fax_number": "847-593-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "SUITE 201",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073311",
            "telephone_number": "847-593-8460",
            "fax_number": "847-593-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATSNELSON",
        "first_name": "YAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IL",
            "license": "036105104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036105104",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Halina Kalinowska, M.D.
• John G Kall, M.D.
• Steven L Kanter, M.D.
• Sameer Mehbub Kapadia, M.D.
• Eva Irene Kardaras, PHD
• Christine Kavanaugh
• Gary E Kay, M.D.
• Joao Fernando Kazan Tannus, MD
• Jessica Kearns, DNP, APRN, AGPCNP-BC
• Steven Jamaal Keglar, DDS

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.