Center for Vein Restoration Mi PLLC
NPI 1720388267 · Surgery Physician · Portage, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Center for Vein Restoration Mi PLLC is a Surgery Physician organization in Portage, MI (NPI 1720388267).
Provider details
- NPI number
- 1720388267
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lorena Thomas, Credentialing Manager(815) 254-1761
- License
- D0053733 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 15255 Northline RdSouthgate, MI 48195-2487Phone: (855) 830-8346Fax: (240) 473-4321
Registry dates
- Enumerated
- 2010-11-01
- Last updated
- 2024-05-30
- Certified
- 2024-05-29
Frequently asked questions
- What is Center for Vein Restoration Mi PLLC's NPI number?
- Center for Vein Restoration Mi PLLC's National Provider Identifier (NPI) is 1720388267, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Center for Vein Restoration Mi PLLC?
- Center for Vein Restoration Mi PLLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Center for Vein Restoration Mi PLLC located?
- Center for Vein Restoration Mi PLLC's practice location on file with NPPES is 3810 W Centre Ave Ste a, Portage, MI 49024-4632.
- What is Center for Vein Restoration Mi PLLC's phone number?
- The practice phone number listed in the NPPES registry for Center for Vein Restoration Mi PLLC is (301) 860-0930.
- Does Center for Vein Restoration Mi PLLC accept Medicare?
- Center for Vein Restoration Mi PLLC 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 Center for Vein Restoration Mi PLLC?
- The authorized official listed on Center for Vein Restoration Mi PLLC's NPPES record is Lorena Thomas, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Center for Vein Restoration Mi PLLC's NPI active?
- Yes — Center for Vein Restoration Mi PLLC's NPI (1720388267) is active in the NPPES registry as of the last update on 2024-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.