Organization Active NPI

Vein and Leg Clinic LLC

  • Phlebology Physician
  • Silver Spring, MD
National Provider Identifier
1982162392
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
Legal business name
VEIN AND LEG CLINIC LLC
Doing business as
Vein and Leg clinic LLC
Practice address
11120 New Hampshire Ave Ste 300
Silver Spring, MD 20904-2680
Phone
(301) 593-9612
Fax
(301) 593-6290
NPI assigned
Mar 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Authorized official

Name
Rajeev Batra, MDNPI 1003918228
Title
Employee
Phone
(301) 593-9612

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 202K00000X Primary

Addresses

Primary practice location

11120 New Hampshire Ave Ste 300
Silver Spring, MD 20904-2680

Mailing address

11120 New Hampshire Ave Ste 300
Silver Spring, MD 20904-2680
Phone (301) 593-9612

Other names 1

  • Vein and Leg clinic LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190627000955 DC Part B Supplier - Clinic/Group Practice 6901130749 Receives reassigned benefits from 1 practitioner
Practice locations: Silver Spring, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1982162392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 NEW HAMPSHIRE AVE STE 300",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042680",
            "telephone_number": "301-593-9612",
            "fax_number": "301-593-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 NEW HAMPSHIRE AVE STE 300",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042680",
            "telephone_number": "301-593-9612",
            "fax_number": "301-593-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN AND LEG CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "BATRA",
        "authorized_official_first_name": "RAJEEV",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "301-593-9612",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vein and Leg clinic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.