Center for Vein Restoration MD LLC
NPI 1114749439ActiveOrganization· Surgery, Vascular Surgery· Fairfax, VA
Surgery, Vascular Surgery in Fairfax, Virginia, registered in NPPES in October 2024. The authorized official on file is Lorena Thomas, Credentialing Manager. Enrolled in Medicare as dme supplier - physician - thoracic surgery.
Overview
| NPI | 1114749439 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 28, 2024 |
| Last updated in NPPES | Oct 28, 2024 |
| Certified by provider | Oct 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Thoracic Surgery (VA) |
|---|
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