KANSAS CITY VASCULAR INSTITUTE, LLC – NPI #1568158202
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

KANSAS CITY VASCULAR INSTITUTE, LLC is a surgeon located in LEAWOOD, KS. NPPES has assigned the NPI number 1568158202 to KANSAS CITY VASCULAR INSTITUTE, LLC on April 14, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was last updated on May 23, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KANSAS CITY VASCULAR INSTITUTE, LLC below.

NPI Profile for
KANSAS CITY VASCULAR INSTITUTE, LLC

NPI Number
1568158202
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KANSAS CITY VASCULAR INSTITUTE, LLC
Primary location
5320 COLLEGE BLVD
LEAWOOD, KS 66211-1621
Phone: (913) 279-0233 Fax: (830) 632-6568
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JUAN CARLOS CORREA
MD/OWNER
Phone: (314) 698-8894
Updated
Certification Date
May 23, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KANSAS CITY VASCULAR INSTITUTE, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidKS30004944060001
medicaidMO500124730
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)
363LA2100X
- Nurse Practitioner / Acute Care

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.