OrganizationActive
Southern Illinois Vascular Surgery, PC
NPI 1407944192 · Vascular Surgery Physician · Belleville, IL
Provider details
- NPI number
- 1407944192
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Hans Moosa, President(618) 233-2500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs 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
311 W Lincoln St
Suite 200
Belleville, IL 62220-1902
Phone: (618) 233-2500
Fax: (618) 233-2520
Street-level locationGet directions
Mailing address
311 W Lincoln St
Belleville, IL 62220-1902
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.