Longevity Vein Clinic LLC
NPI 1033902994 · Internal Medicine Physician · Ballwin, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Longevity Vein Clinic LLC is a Internal Medicine Physician organization in Ballwin, MO (NPI 1033902994).
Provider details
- NPI number
- 1033902994
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ameen Bajwa, Cfo(314) 954-4005
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-05-23
- Last updated
- 2025-05-23
- Certified
- 2025-05-23
Frequently asked questions
- What is Longevity Vein Clinic LLC's NPI number?
- Longevity Vein Clinic LLC's National Provider Identifier (NPI) is 1033902994, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Longevity Vein Clinic LLC?
- Longevity Vein Clinic LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Longevity Vein Clinic LLC located?
- Longevity Vein Clinic LLC's practice location on file with NPPES is 15421 Clayton Rd Ste G1, Ballwin, MO 63011-3161.
- What is Longevity Vein Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Longevity Vein Clinic LLC is (314) 639-9475.
- Does Longevity Vein Clinic LLC accept Medicare?
- Longevity Vein Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Longevity Vein Clinic LLC?
- The authorized official listed on Longevity Vein Clinic LLC's NPPES record is Ameen Bajwa, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Longevity Vein Clinic LLC's NPI active?
- Yes — Longevity Vein Clinic LLC's NPI (1033902994) is active in the NPPES registry as of the last update on 2025-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.