St. Louis Vascular Surgical Specialists PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

ST. LOUIS VASCULAR SURGICAL SPECIALISTS PC

Doing business as

St. Louis Limb Preservation Center
St. Louis Vascular Surgery Specialists

Practice address

1901 HRC Plaza Dr
Lake St Louis, MO 63367-2360

Phone

(314) 755-1084

Fax

(314) 755-1184

NPI assigned

May 26, 2023

Last updated

Jun 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Ivan Hacker, MDNPI 1295985554

Title

Ceo Owner

Phone

(314) 755-1084

Specialties & licenses 2

Addresses

Other names 2

• St. Louis Limb Preservation Center Doing business as
• St. Louis Vascular Surgery Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EECCDD

Practitioners 5

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.

• Robert Hacker, M.D.

  • Vascular Surgery Physician
  • Lake St Louis, MO
  • NPI 1295985554

  IL

  Medicare reassignment Care Compare group NPD Authorized official
• Deena Basima Chihade, M.D.

  • Vascular Surgery Physician
  • Lake St Louis, MO
  • NPI 1104113802

  IL

  Medicare reassignment Care Compare group NPD
• Rachel Louise Closser, FNP-C

  • Family Nurse Practitioner
  • Lake St Louis, MO
  • NPI 1205411535
  Medicare reassignment Care Compare group NPD
• Elana Ruth Hacker, PA-C

  • Physician Assistant
  • Saint Louis, MO
  • NPI 1750741351
  Medicare reassignment Care Compare group
• Marshall Salvatore Grillo Jr., DO

  • Vascular Surgery Physician
  • Grand Blanc, MI
  • NPI 1730114448

  IL, MO

  Medicare reassignment NPD

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1477246312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 HRC PLAZA DR",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633672360",
            "telephone_number": "314-755-1084",
            "fax_number": "314-755-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 HRC PLAZA DR",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633672360",
            "telephone_number": "314-755-1084",
            "fax_number": "314-755-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS VASCULAR SURGICAL SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "HACKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "314-755-1084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Louis Limb Preservation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Louis Limb Preservation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Louis Vascular Surgery Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Naresh J Solanki, M.D.
• Spartan Physiotherapy
• SSM Health Care St. Louis (SSM Health St. Joseph Hospital - Lake Saint Louis Physician Billing)
• SSM Health Care St. Louis (SSM Health St Joseph Hospital - Lake Saint Louis)
• SSM St Charles Clinic Medical Group
• St.Joseph Health Cener Womens and Childrens Services Clinic (Physicians of SSM St. Louis)
• Kristin Louise Staats, FNP
• Ashana Starr
• Stephanie Denton LLC
• STL Mid County Dental LLC (Lake St Louis Dentistry)

• Vascular Surgery Physician in Lake St Louis, MO
• Providers in Lake St Louis, MO by specialty
• Vascular Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.