Individual provider Active NPI

Vera Boutros, M.D.

  • Phlebology Physician
  • Arlington Heights, IL
National Provider Identifier
1902045990
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
036128848 Issued in IL
Practice address
1845 E Rand Rd Ste 100
Arlington Heights, IL 60004-4359
Phone
(224) 526-8346
NPI assigned
Feb 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036128848 IL
Phlebology Physician 202K00000X 036128848 IL Primary

Addresses

Primary practice location

1845 E Rand Rd Ste 100
Arlington Heights, IL 60004-4359

Mailing address

1845 E Rand Rd Ste 100
Arlington Heights, IL 60004-4359
Phone (224) 526-8346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110926000444 IL Practitioner - Family Practice 7719158674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Howard University College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1845 E Rand Rd
Suite 100
Arlington Heights, IL 60004-4359
Phone (847) 254-8799

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036128848ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VRB Vascular, PLLC Phlebology CurrentSince Nov 4, 2022 Accepting new patients
Endeavor Health Medical Group Past Accepting new patients
Endeavor Health Medical Group Family Medicine Past Accepting new patients
Vein Clinics of Chicago LLC Past Accepting new patients

Locations

1845 E Rand Rd
Ste 100
Arlington Hts, IL 60004
Phone (224) 526-8346

1256 Waterford Dr
Ste 130
Aurora, IL 60504
Phone (630) 820-2727

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1902045990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 E RAND RD STE 100",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044359",
            "telephone_number": "224-526-8346",
            "fax_number": "847-503-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 E RAND RD STE 100",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044359",
            "telephone_number": "224-526-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTROS",
        "first_name": "VERA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-13",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036128848",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "IL",
            "license": "036128848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.