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

Active since September 09, 2025CLIA 26D2334925 · Waiver
1028 S KIRKWOOD RD, KIRKWOOD, MO 63122(417) 447-4484 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kirkwood Vascular And Surgical Institute, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIRKWOOD VASCULAR AND SURGICAL INSTITUTE, LLC (NPI 1033090964) is a healthcare organization registered as an ambulatory surgical in Kirkwood, Missouri and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through December 2, 2027 and lists Olaguoke Akinwande, Owner/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1033090964
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameKIRKWOOD VASCULAR AND SURGICAL INSTITUTE, LLC
Location Address1028 S KIRKWOOD RDKirkwood, MO 63122-7222
Mailing Address1028 S Kirkwood RdKirkwood, MO 63122-7222
Organization SubpartNo
Authorized OfficialOlaguoke AkinwandeOwner/authorized Official · (417) 447-4484
Enumeration DateSeptember 9, 2025
NPPES CertifiedSeptember 9, 2025
NPI 1033090964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1028 S KIRKWOOD RD, Kirkwood, MO 63122

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2334925

Kirkwood Vascular & Surgical Institute, LLC · Kirkwood, MO
Active · expires Dec 2, 2027
CLIA Number26D2334925
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 3, 2025
Certificate Expiration DateDecember 2, 2027
Laboratory DirectorAkinwande Olaguoke
Laboratory Phone(410) 499-1078
Laboratory LocationKirkwood Vascular & Surgical Institute, LLC1028 S Kirkwood Rd, Kirkwood, MO 63122
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kirkwood Vascular And Surgical Institute, LLC's NPI number?

The NPI number for Kirkwood Vascular And Surgical Institute, LLC is 1033090964. It was assigned to this organization in the NPPES registry on September 9, 2025.

Where is Kirkwood Vascular And Surgical Institute, LLC located?

Kirkwood Vascular And Surgical Institute, LLC is located at 1028 S Kirkwood Rd, Kirkwood, MO 63122. The listed phone number is (417) 447-4484.

What is Kirkwood Vascular And Surgical Institute, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Kirkwood Vascular And Surgical Institute, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2334925) is associated with this NPI, valid through December 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kirkwood Vascular And Surgical Institute, LLC was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.