Ivan Romano Vankust, CPT NUMBER-20-0381R2

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

200381R22 Issued in VA

Practice address

1119 30 Street
Newport News, VA 23607

Phone

(718) 734-7189

NPI assigned

Jul 21, 2023

Last updated

Jul 21, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1710667910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 30 STREET",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23607",
            "telephone_number": "718-734-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 30 STREET",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23607",
            "telephone_number": "718-734-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANKUST",
        "first_name": "IVAN",
        "middle_name": "ROMANO",
        "name_prefix": "Mr.",
        "credential": "CPT NUMBER-20-0381R2",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "VA",
            "license": "200381R22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Van Ness, PT, DPT
• Pamela Vancott, BS PHARM
• Tien Vanden Hoek, M.D.
• Jeffrey Allen Vandesand, MD
• Vanessa Hartman DDS & Associates, PLLC (a division of Atlantic Dental Care, PLC)
• Joyce Vannatta
• Christopher Mark Vanraam, PHARMD
• William J Vanzetta, OD
• Viola Vanessa Vaughan-Eden, PHD LCSW
• Allison Michelle Vaughan, LPC

• Phlebotomy Technician in Newport News, VA
• Providers in Newport News, VA by specialty
• Phlebotomy Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.