Active NPI
Kirubahara Vaheesan, MD
- Vascular & Interventional Radiology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 2012038839
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2795485-00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MO, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Adventhealth Tampa
- Adventhealth Wesley Chapel
- Adventhealth Sebring
- SSM Health St Mary'S Hospital - St Louis
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.94 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2011-01362 | NC | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Cardinal Glennon Childrens Hospital | Current | Accepting new patients | |
| Howard Simon MD PLLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| University of Miami | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients | |
| SSM Health Care Group | Current | Accepting new patients | |
| STL Interventional Oncology Interventional Radiology Clinics LLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Simonmed Imaging Florida LLC | Current | Accepting new patients | |
| SSM Cardinal Glennon Children'S Hospital | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients | |
| SSM Health Care Group | Current | 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
- 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.
-
- Vascular & Interventional Radiology Physician
- Creve Coeur, MO
- NPI 1558240960
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
-
- Clinic/Center
- Lumberton, NC
- NPI 1154399699
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1659930998
MO, Vascular & Interventional Radiology
-
- Hepatology Physician
- Miami, FL
- NPI 1013967827
-
- Pediatrics Physician
- Warrenton, MO
- NPI 1962573212
-
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
-
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1104876622
-
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1124768627
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1336387836
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1962572396
-
- General Acute Care Hospital
- Sebring, FL
- NPI 1083692594
-
- General Acute Care Hospital
- Wesley Chapel, FL
- NPI 1073893020
-
- General Acute Care Hospital
- Lumberton, NC
- NPI 1427030774
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.