USA VEIN CLINICS OF CLEVELAND LLC – Vascular Surgery Physician, NPI 1992204077
Vascular Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for USA VEIN CLINICS OF CLEVELAND LLC
304, Wainwright Drive, Northfield Township, Cook County, Illinois, 60062, United States
NORTHBROOK, IL 600621900
Phone: (847) 593-8460
Fax: (224) 235-4652
Type: Mailing
4368 Dressler Rd NW Ste 101
Canton, OH 447182776
Phone: (330) 313-3228
Fax: (224) 235-4652
Type: Location
7050 Engle Rd Ste 102
Middleburg Heights, OH 441308406
Phone: (440) 673-3490
Fax: (224) 235-4652
Type: Location
6655 Seville Dr
Canfield, OH 444069143
Phone: (330) 286-9804
Fax: (224) 235-4652
Type: Location
397 Churchill Hubbard Rd
Youngstown, OH 445051375
Phone: (330) 272-9449
Fax: (224) 235-4652
Type: Location
5000 E Market St Ste 31
Warren, OH 444842259
Phone: (234) 308-6098
Fax: (224) 235-4652
Type: Location
102, West Market Street, Fairlawn, Summit County, Ohio, 44333, United States
FAIRLAWN, OH 443332425
Phone: (330) 237-9880
Fax: (224) 235-4652
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-04-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20180412000946 | O | Clinic/Group Practice | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60062)
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