Individual provider Active NPI

Kirubahara Vaheesan, MD

  • Vascular & Interventional Radiology Physician
  • Saint Louis, MO
National Provider Identifier
1982891271
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
2012038839 Issued in MO
Practice address
641 N New Ballas Rd
Saint Louis, MO 63141-6713
Phone
(314) 888-4647
Fax
(314) 514-4014
NPI assigned
Oct 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 2012038839 MO Primary
Vascular & Interventional Radiology Physician 2085R0204X 2011-01362 NC

Addresses

Primary practice location

641 N New Ballas Rd
Saint Louis, MO 63141-6713

Mailing address

641 N New Ballas Rd
Saint Louis, MO 63141-6713
Phone (314) 888-4647

Other practice location 1

300 W 27th St
Lumberton, NC 28358-3075
Phone (910) 671-5000

Other practice location 2

3635 Vista Ave
Saint Louis, MO 63110-2539
Phone (314) 268-5783

Other identifiers 1

IdentifierTypeStateIssuer
2795485-00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MO, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20071203000620 FL Practitioner - Diagnostic Radiology 1658460332 Reassigns benefits to 2 organizations
I20130220000439 MO Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 1658460332 Reassigns benefits to 6 organizations
I20260615000492 NC Practitioner - Diagnostic Radiology 1658460332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians
Southeastern Regional Medical CenterGroup PAC ID 7315857141, 54 clinicians

Practice addresses (Care Compare)

Saint Louis, MO 63131
Phone (800) 737-5654

10101 Woodfield LN
Saint Louis, MO 63132-2946
Phone (608) 280-4647

13209 Hawkshead CT
Saint Louis, MO 63131-1050
Phone (480) 306-6949

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9207
Phone (813) 929-5436

2700 Healing Way
Wesley Chapel, FL 33543-5453

300 W 27TH St
Lumberton, NC 28358-3075
Phone (910) 671-5335

3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (813) 615-7075

641 N New Ballas Rd
Creve Coeur, MO 63141-6713
Phone (314) 888-4647

7050 Gall Blvd
Zephyrhills, FL 33541-1347
Phone (813) 788-0411

Hospital & facility affiliations

  • Southeastern Regional Medical Center Hospital, Lumberton, NC, CCN 340050
  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
  • Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319
  • Adventhealth Sebring Hospital, Sebring, FL, CCN 100109
  • SSM Health St Mary'S Hospital - St Louis Hospital, Saint Louis, MO, CCN 260091

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
68.52
Promoting interoperability
100
Improvement activities
40
Cost
72.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011-01362NCMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Cardinal Glennon Childrens Hospital CurrentSince Nov 11, 2013 Accepting new patients
Howard Simon MD PLLC Vascular & Interventional Radiology CurrentSince Aug 11, 2025 Accepting new patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Apr 1, 2025 Accepting new patients
SSM Health Care Group CurrentSince Jul 1, 2022 Accepting new patients
STL Interventional Oncology Interventional Radiology Clinics LLC Vascular & Interventional Radiology CurrentSince Aug 31, 2025 Accepting new patients
Simonmed Imaging Florida LLC CurrentSince Aug 11, 2025 Accepting new patients
SSM Cardinal Glennon Children'S Hospital CurrentSince Nov 11, 2013 Accepting new patients
University of Miami CurrentSince Apr 1, 2025 Accepting new patients
SSM Health Care Group CurrentSince Jul 1, 2022 Accepting new patients
University of Miami Past Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1115 NW 14th St
Miami, FL 33136
Phone (305) 243-5520

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

3691 Rutger St
Saint Louis, MO 63110
Phone (314) 268-4101

641 N New Ballas Rd
Saint Louis, MO 63141
Phone (314) 648-0101

3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kvaheesan75342@direct-ehr-ssmhc.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1982891271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 N NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416713",
            "telephone_number": "314-888-4647",
            "fax_number": "314-514-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 N NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416713",
            "telephone_number": "314-888-4647",
            "fax_number": "314-514-4014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W 27th St",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283583075",
            "country_code": "US",
            "telephone_number": "910-671-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3635 Vista Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631102539",
            "country_code": "US",
            "telephone_number": "314-268-5783",
            "fax_number": "314-268-5116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAHEESAN",
        "first_name": "KIRUBAHARA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MO",
            "license": "2012038839",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NC",
            "license": "2011-01362",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2795485-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.