NPIMap

Organization Active NPI

Center for Vein Restoration Oh LLC

  • Vascular Surgery Physician
  • Oregon, OH
National Provider Identifier
1679026751
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
CENTER FOR VEIN RESTORATION OH LLC
Practice address
3156 Dustin Road
Suite 100
Oregon, OH 43616-4300
Phone
(855) 830-8342
Fax
(240) 473-4321
NPI assigned
Jul 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Sanjiv Lakhanpal, M.D.NPI 1124074083
Title
M.D./Ceo
Phone
(855) 830-8346

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

3156 Dustin Road
Suite 100
Oregon, OH 43616-4300

Mailing address

7474 Greenway Center Dr
Suite 1000
Greenbelt, MD 20770-3504
Phone (240) 965-3258

Other practice location 1

7640 Sylvania Ave Ste 100
Sylvania, OH 43560-9729
Phone (855) 830-8346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161028000635 OH Part B Supplier - Clinic/Group Practice 1254619091 Receives reassigned benefits from 12 practitioners
Practice locations: Gahanna, OH; Sylvania, OH; Grove City, OH; Oregon, OH
O20190618000844 OH DME Supplier - Physician - Vascular Surgery 1254619091 Practice locations: Oregon, OH

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

2065 Stringtown Rd
Grove City, OH 43123
Phone (614) 271-0642

1050 Isaac Streets Dr
Ste 131
Oregon, OH 43616
Phone (419) 690-0888

3156 Dustin Rd
Ste 100
Oregon, OH 43616
Phone (312) 718-3051

7640 Sylvania Ave
Ste 100
Sylvania, OH 43560

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1679026751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7474 GREENWAY CENTER DR",
            "address_2": "SUITE 1000",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703504",
            "telephone_number": "240-965-3258",
            "fax_number": "240-473-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3156 DUSTIN ROAD",
            "address_2": "SUITE 100",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436164300",
            "telephone_number": "855-830-8342",
            "fax_number": "240-473-4321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7640 Sylvania Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435609729",
            "country_code": "US",
            "telephone_number": "855-830-8346",
            "fax_number": "240-473-4321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR VEIN RESTORATION OH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "LAKHANPAL",
        "authorized_official_first_name": "SANJIV",
        "authorized_official_title_or_position": "M.D./CEO",
        "authorized_official_telephone_number": "855-830-8346",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.