MODERN VEIN PROVIDERS, PLLC
NPI 1346010527
Radiology - Vascular & Interventional Radiology in Waterford, CT

Active since January 08, 2024
903 HARTFORD TPKE, WATERFORD, CT 06385(860) 574-3423(860) 222-9082 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Modern Vein Providers, Pllc NPPES

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

MODERN VEIN PROVIDERS, PLLC (NPI 1346010527) is a healthcare organization registered as a vascular & interventional radiology in Waterford, Connecticut and active in the NPI registry since January 2024. The organization lists Jiyong Ahn, Doctor, as its authorized official.

NPPES Registry Identity

NPI1346010527
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameMODERN VEIN PROVIDERS, PLLC
Location Address903 HARTFORD TPKEWaterford, CT 06385-4264
Mailing Address903 Hartford TpkeWaterford, CT 06385-4264 · (860) 574-3423 · Fax (860) 222-9082
Fax(860) 222-9082
Organization SubpartNo
Authorized OfficialJiyong AhnDoctor · (860) 574-3423
Enumeration DateJanuary 8, 2024
NPPES CertifiedJanuary 8, 2024
✔ NPI 1346010527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
903 HARTFORD TPKE, Waterford, CT 06385

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Modern Vein Providers, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Modern Vein Providers, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1275847949
20 YORK STREET, CB-2041
New Haven, CT 06510
(203) 688-4748
✔ PECOS✔ Accepts Medicare41 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Modern Vein Providers, PLLC's NPI number?

The NPI number for Modern Vein Providers, PLLC is 1346010527. It was assigned to this organization in the NPPES registry on January 8, 2024.

Where is Modern Vein Providers, PLLC located?

Modern Vein Providers, PLLC is located at 903 Hartford Tpke, Waterford, CT 06385. The listed phone number is (860) 574-3423.

What is Modern Vein Providers, PLLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Modern Vein Providers, PLLC enrolled in Medicare?

Yes. Modern Vein Providers, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Modern Vein Providers, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Modern Vein Providers, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Modern Vein Providers, PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Modern Vein Providers, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Modern Vein Providers, PLLC was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.