Organization Active NPI

Vein and Vascular Centers, SC

  • Vascular & Interventional Radiology Physician
  • Hinsdale, IL
National Provider Identifier
1982119319
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
VEIN AND VASCULAR CENTERS, SC
Practice address
7 N Grant St Ste 1
Hinsdale, IL 60521-3366
Phone
(630) 320-6877
NPI assigned
Dec 7, 2017
Last updated
Dec 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Authorized official

Name
Diane Sarka
Title
Credentialing Consultant
Phone
(630) 928-5234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X NU Primary

Addresses

Primary practice location

7 N Grant St Ste 1
Hinsdale, IL 60521-3366

Mailing address

903 Commerce Dr Ste 333
Oak Brook, IL 60523-8723
Phone (630) 928-5234

Other identifiers 1

IdentifierTypeStateIssuer
036096152OtherILSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180124000991 IL Part B Supplier - Clinic/Group Practice 8527327378 Receives reassigned benefits from 2 practitioners
Practice locations: Hinsdale, IL

National Provider Directory

National Provider Directory

Locations

7 N Grant St
Ste 1
Hinsdale, IL 60521
Phone (708) 354-8881

3100 Theodore St
Ste 202
Joliet, IL 60435
Phone (708) 354-8881

903 Commerce Dr
Ste 333
Oak Brook, IL 60523
Phone (630) 571-6770

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1982119319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 COMMERCE DR STE 333",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238723",
            "telephone_number": "630-928-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 N GRANT ST STE 1",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213366",
            "telephone_number": "630-320-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN AND VASCULAR CENTERS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "SARKA",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CREDENTIALING CONSULTANT",
        "authorized_official_telephone_number": "630-928-5234"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036096152",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.