KIRKWOOD VASCULAR AND SURGICAL INSTITUTE, LLC
NPI 1033090964
Clinic/Center - Ambulatory Surgical in Kirkwood, MO

NPI Status: Active since September 09, 2025

Contact Information

1028 S KIRKWOOD RD
KIRKWOOD, MO
ZIP 63122
Phone: (417) 447-4484

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 26D2334925
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 12-02-2027

About KIRKWOOD VASCULAR AND SURGICAL INSTITUTE, LLC

This page provides the complete NPI Profile along with additional information for Kirkwood Vascular And Surgical Institute, Llc, a provider established in Kirkwood, Missouri operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1033090964 assigned on September 2025. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Olaguoke Akinwande Md (Owner/authorized Official)

NPI
1033090964
Provider Name
KIRKWOOD VASCULAR AND SURGICAL INSTITUTE, LLC
Entity Type
Organization
Location Address
1028 S KIRKWOOD RD KIRKWOOD, MO 63122
Location Phone
(417) 447-4484
Mailing Address
1028 S KIRKWOOD RD KIRKWOOD, MO 63122
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-09-2025
Last Update Date
09-09-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

OLAGUOKE AKINWANDE MD

Authorized Official Title
OWNER/AUTHORIZED OFFICIAL
Authorized Official Phone
(417) 447-4484

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D2334925
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
December 03, 2025
Certificate Expiration Date
December 02, 2027
Laboratory Director
AKINWANDE OLAGUOKE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kirkwood Vascular And Surgical Institute, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1033090964, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
3
Doubled → 6
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 0 → 0 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 6 + 3 + 0 + 9 + 0 + 9 + 1 + 2 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1033090964.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
1028 S KIRKWOOD RD
KIRKWOOD, MO 63122
Clinic/Center (Radiology)
1028 S KIRKWOOD RD
KIRKWOOD, MO 63122
Internal Medicine (Interventional Cardiology)
1028 S KIRKWOOD RD
KIRKWOOD, MO 63122
Clinic/Center (Ambulatory Surgical)
1028 S KIRKWOOD RD
SAINT LOUIS, MO 63122
Internal Medicine (Interventional Cardiology)
1028 S KIRKWOOD RD
KIRKWOOD, MO 63122
Family Medicine
1028 S KIRKWOOD RD
SAINT LOUIS, MO 63122
Internal Medicine (Interventional Cardiology)
1028 S KIRKWOOD RD
SAINT LOUIS, MO 63122
Clinic/Center
1028 S KIRKWOOD RD
KIRKWOOD, MO 63122

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033090964, enumerated as an "organization" on September 09, 2025.

The provider is located at 1028 S KIRKWOOD RD KIRKWOOD, MO 63122 and the phone number is (417) 447-4484.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.