Kansas City Vascular Institute, LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

KANSAS CITY VASCULAR INSTITUTE, LLC

Practice address

5320 College Blvd
Leawood, KS 66211-1621

Phone

(913) 279-0233

Fax

(830) 632-6568

NPI assigned

Apr 14, 2023

Organization subpart

No

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

Authorized official

Name

Juan Carlos Correa, MDNPI 1508063835

Title

MD/Owner

Phone

(314) 698-8894

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Juan Carlos Correa, MD

  • Vascular Surgery Physician
  • Leawood, KS
  • NPI 1508063835
  Medicare reassignment Care Compare group NPD Authorized official
• Sarah Ashley Krejci, NP

  • Acute Care Nurse Practitioner
  • Leawood, KS
  • NPI 1770086076
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1568158202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 COLLEGE BLVD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111621",
            "telephone_number": "913-279-0233",
            "fax_number": "830-632-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 COLLEGE BLVD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111621",
            "telephone_number": "913-279-0233",
            "fax_number": "830-632-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY VASCULAR INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "JUAN CARLOS",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "314-698-8894",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004944060001",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500124730",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kansas CVS Pharmacy, L.L.C.
• Kansas Lasik Plus
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• Rahul Kapur, MD

• Vascular Surgery Physician in Leawood, KS
• Providers in Leawood, KS by specialty
• Vascular Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.