Center for Vein Restoration Mi PLLC
NPI 1720388267ActiveOrganization· Surgery· Portage, MI
Surgery in Portage, Michigan, registered in NPPES in November 2010. The authorized official on file is Lorena Thomas, Credentialing Manager. Enrolled in Medicare as dme supplier - multi-specialty - physician and part b supplier - clinic/group practice.
Overview
| NPI | 1720388267 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 1, 2010 |
| Last updated in NPPES | May 30, 2024 |
| Certified by provider | May 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | D0053733 | MD |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | D0053733 | MD |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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 DME Supplier - Multi-Specialty - Physician (MI); Part B Supplier - Clinic/Group Practice (MI) |
|---|
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