Vein Clinic Saint Joseph LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

2005006001 Issued in MO

Legal business name

VEIN CLINIC SAINT JOSEPH LLC

Doing business as

Alsara Clinic

Practice address

1105 S Belt Hwy
Saint Joseph, MO 64507-2532

Phone

(844) 425-7272

Fax

(816) 558-6544

NPI assigned

Jan 25, 2016

Organization subpart

No

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

Authorized official

Name

Sameer Gupta, M.D.NPI 1043293996

Title

President

Phone

(844) 425-7272

Specialties & licenses 1

Addresses

Other names 1

• Alsara Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sameer Gupta, MD

  • Phlebology Physician
  • Saint Joseph, MO
  • NPI 1043293996
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1306203120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8694",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645088694",
            "telephone_number": "816-396-0245",
            "fax_number": "816-558-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 S BELT HWY",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072532",
            "telephone_number": "844-425-7272",
            "fax_number": "816-558-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN CLINIC SAINT JOSEPH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SAMEER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "844-425-7272",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MO",
            "license": "2005006001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alsara Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alsara Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• V. Nanda Kumar, MD
• Valudental St Joseph LLC
• Latha Varghese, APN
• Skariah Varghese
• Cassandra D Veale, PMHNP
• Laxmi Narayan Veligati, M.D.
• Padmavathi Veligati, MD
• Kelli Elizabeth Verble, LMSW
• Robert Vetter, ATC
• Dana Renee Vietti, M.D.

• Medical Specialty Clinic/Center in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Medical Specialty Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.