USA VASCULAR CENTER OF DECATUR LLC NPI 1487133278

NPI Information

  • NPI: 1487133278
  • Provider Name: USA VASCULAR CENTER OF DECATUR LLC
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • CLIA Number: 11D2169075
  • Address: 495 WINN WAY STE 230
    DECATUR, GA
    ZIP 30030
  • Phone: (847) 593-8460

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NPI Details

USA VASCULAR CENTER OF DECATUR LLC is a vascular surgery surgery in Decatur, GA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. USA VASCULAR CENTER OF DECATUR LLC NPI is 1487133278. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

495 WINN WAY STE 230
DECATUR, GA
ZIP 30030-736
Phone: (847) 593-8460

The provider's authorized official is Yan Katsnelson .
The authorized official title is Ceo/president and has the following contact phone number (224) 318-0118.

The CLIA number assigned to this NPI record is 11D2169075 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2018 and was last updated on 10/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2208600000XSurgeryNo
32086S0102XSurgerySurgical Critical CareNo
4207RC0000XInternal MedicineCardiovascular DiseaseNo
5207Q00000XFamily MedicineNo
62085R0204XRadiologyVascular & Interventional RadiologyNo
7208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
8207P00000XEmergency MedicineNo
9207RI0011XInternal MedicineInterventional CardiologyNo
102086S0129XSurgeryVascular SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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