Organization Active NPI

Center for Vein Restoration MD LLC

  • Vascular Surgery Physician
  • Prince Frederick, MD
National Provider Identifier
1912729211
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
CENTER FOR VEIN RESTORATION MD LLC
Practice address
301 Steeple Chase Dr Ste 401
Prince Frederick, MD 20678-4051
Phone
(855) 830-8346
Fax
(240) 473-4321
NPI assigned
Oct 28, 2024
Last updated
Oct 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Lorena Thomas
Title
Credentialing Manager
Phone
(815) 254-1761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

301 Steeple Chase Dr Ste 401
Prince Frederick, MD 20678-4051

Mailing address

7474 Greenway Center Dr Ste 1000
Greenbelt, MD 20770-3500
Phone (815) 254-1761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260122004186 MD DME Supplier - Physician - Thoracic Surgery 8729022736 Practice locations: Prince Frederick, MD

National Provider Directory

National Provider Directory
Tax ID family
Sanjiv Lakhanpal MD36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

Locations (25 of 26)

3301 New Mexico Ave NW
Ste 336
Washington, DC 20016
Phone (202) 362-4467

650 Pennsylvania Ave SE
Ste 250
Washington, DC 20003
Phone (202) 575-4660

2225 Old Emmorton Rd
Ste 110
Bel Air, MD 21015
Phone (410) 515-4900

11055 Little Patuxent Pkwy
Ste 203
Columbia, MD 21044
Phone (410) 312-9076

401 Purdy St
Ste 204
Easton, MD 21601

505 Dutchmans Ln
Ste A2
Easton, MD 21601
Phone (410) 819-6545

141 Thomas Johnson Dr
Ste 190
Frederick, MD 21702
Phone (240) 629-3942

19785 Crystal Rock Dr
Ste 310
Germantown, MD 20874
Phone (240) 724-6781

20 Crossroads Dr
Ste 212
Owings Mills, MD 21117

205 Steeple Chase Dr
Ste 308
Prince Frederick, MD 20678
Phone (301) 441-2269

301 Steeple Chase Dr
Ste 401
Prince Frederick, MD 20678
Phone (301) 494-8641

11921 Rockville Pike
Ste 401
Rockville, MD 20852
Phone (301) 468-5781

1322 Belmont Ave
Ste 204
Salisbury, MD 21804
Phone (410) 742-4339

7300 York Rd
Ste Ll
Towson, MD 21204
Phone (410) 296-4876

1500 N Beauregard St
Ste 210
Alexandria, VA 22311
Phone (240) 473-4321

1900 N Beauregard St
Ste 110
Alexandria, VA 22311
Phone (703) 212-7546

8316 Arlington Blvd
Ste 514A
Fairfax, VA 22031

8316 Arlington Blvd
Ste 515
Fairfax, VA 22031
Phone 3019822000999

8316 Arlington Blvd
Ste 610B
Fairfax, VA 22031

211 Park Hill Dr
#B
Fredericksburg, VA 22401
Phone (540) 370-4370

19450 Deerfield Ave
Ste 150
Leesburg, VA 20176
Phone (703) 729-9220

8140 Ashton Ave
Ste 216
Manassas, VA 20109

8200 Greensboro Dr
Ste 210
McLean, VA 22102
Phone (703) 506-8346

850 E Main St
Ste 208
Purcellville, VA 20132

11800 Sunrise Valley Dr
Ste 225
Reston, VA 20191

Practitioners & affiliated clinicians

Practitioners 70

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.

View all 70

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1912729211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7474 GREENWAY CENTER DR STE 1000",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703500",
            "telephone_number": "815-254-1761",
            "fax_number": "240-473-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 STEEPLE CHASE DR STE 401",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784051",
            "telephone_number": "855-830-8346",
            "fax_number": "240-473-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR VEIN RESTORATION MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "LORENA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "815-254-1761"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.