NPIMap

Organization Active NPI

USA Vein Clinics of Miami, LLC

  • Vascular Surgery Physician
  • Hallandale Beach, FL
National Provider Identifier
1396147138
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
USA VEIN CLINICS OF MIAMI, LLC
Practice address
1711 E Hallandale Beach Blvd Ste B
Hallandale Beach, FL 33009-4621
Phone
(546) 883-9689
NPI assigned
Sep 24, 2014
Last updated
Apr 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Authorized official

Name
Yan Katsnelson, MDNPI 1285672840
Title
Owner/Physician
Phone
(847) 593-8460

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

1711 E Hallandale Beach Blvd Ste B
Hallandale Beach, FL 33009-4621

Mailing address

PO Box 971
Northbrook, IL 60065-0971
Phone (847) 305-3346

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150817002382 FL Part B Supplier - Clinic/Group Practice 9830404003 Receives reassigned benefits from 23 practitioners
Practice locations: Pinellas Park, FL; West Palm Beach, FL; Tampa, FL; Tamarac, FL; Sarasota, FL; Port St Lucie, FL; Orlando, FL; Naples, FL…

National Provider Directory

National Provider Directory

Locations

1711 E Hallandale Beach Blvd
Ste B
Hallandale Beach, FL 33009
Phone (546) 883-9689

13241 Bartram Park Blvd
Unit 801
Jacksonville, FL 32258
Phone (904) 446-9191

3757 Pleasant Hill Rd
Ste C103
Kissimmee, FL 34746

5020 Tamiami Trl N
Ste 112
Naples, FL 34103

4978 Millenia Blvd
Ste D
Orlando, FL 32839
Phone (321) 666-7620

3100 US Highway 1 S
Ste 4A
Saint Augustine, FL 32086
Phone (904) 429-7019

4730 N Habana Ave
Tampa, FL 33614
Phone (813) 348-3739

Practitioners & affiliated clinicians

Practitioners 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1396147138",
    "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": "847-305-3346",
            "fax_number": "224-246-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 E HALLANDALE BEACH BLVD STE B",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094621",
            "telephone_number": "546-883-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA VEIN CLINICS OF MIAMI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "KATSNELSON",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "847-593-8460",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.