Active NPI
USA Vein Clinics of Miami, LLC
- Vascular Surgery Physician
- Hallandale Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yan Katsnelson, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
1602 Oakfield Dr
Ste 101
Brandon, FL 33511
Phone (813) 345-4511
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
2748 University Blvd W
#101
Jacksonville, FL 32217
Phone (904) 595-3052
3757 Pleasant Hill Rd
Ste C103
Kissimmee, FL 34746
13940 N US Highway 441
Ste 500
Lady Lake, FL 32159
Phone (352) 218-8638
2250 S Dixie Hwy
Ste 2
Miami, FL 33133
Phone (786) 673-7873
5020 Tamiami Trl N
Ste 112
Naples, FL 34103
4978 Millenia Blvd
Ste D
Orlando, FL 32839
Phone (321) 666-7620
4962 Ridgemoor Blvd
Palm Harbor, FL 34685
Phone (727) 789-1762
4900 95th Ave N
Pinellas Park, FL 33782
Phone (727) 546-4400
3300 Tamiami Trl
Port Charlotte, FL 33952
1908 SE Port St Lucie Blvd
Port St Lucie, FL 34952
4601 N Congress Ave
Ste 101
West Palm Beach, FL 33407
Phone (561) 812-3762
Practitioners & affiliated clinicians
Practitioners 27
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Elk Grove Village, IL
- NPI 1285672840
FL
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.