St. Louis Vascular Surgical Specialists PC
NPI 1477246312ActiveOrganization· Surgery, Vascular Surgery· Lake St Louis, MO
Surgery, Vascular Surgery in Lake St Louis, Missouri, registered in NPPES in May 2023. The authorized official on file is Robert Ivan Hacker, MD, Ceo Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1477246312 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 26, 2023 |
| Last updated in NPPES | Jun 5, 2026 |
| Certified by provider | Jun 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
| Internal Medicine | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (MO) |
|---|
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