Longevity Vein Clinic LLC
NPI 1033902994ActiveOrganization· Internal Medicine· Ballwin, MO
Internal Medicine in Ballwin, Missouri, registered in NPPES in May 2025. The authorized official on file is Ameen M. Bajwa, Cfo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1033902994 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 23, 2025 |
| Last updated in NPPES | May 23, 2025 |
| Certified by provider | May 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
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