USA VASCULAR CENTER OF DECATUR LLC
NPI 1487133278
Surgery - Vascular Surgery in Decatur, GA
NPI Status: Active since August 13, 2018
Contact Information
495 WINN WAY STE 230
DECATUR, GA
ZIP 30030
Phone: (847) 593-8460
- Organization
- Surgery
- Vascular Surgery
- Accepts Insurance
- CLIA Number: 11D2169075
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-15-2027
About USA VASCULAR CENTER OF DECATUR LLC
This page provides the complete NPI Profile along with additional information for Usa Vascular Center Of Decatur Llc, a provider established in Decatur, Georgia operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1487133278 assigned on August 2018. The practitioner's primary taxonomy code is 2086S0129X. The provider is registered as an organization and their NPI record was last updated one year ago. Usa Vascular Center Of Decatur Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Yan Katsnelson M.d. (Ceo/president)
- NPI
- 1487133278
- Provider Name
- USA VASCULAR CENTER OF DECATUR LLC
- Entity Type
- Organization
- Location Address
- 495 WINN WAY STE 230 DECATUR, GA 30030
- Location Phone
- (847) 593-8460
- Mailing Address
- PO BOX 1602 NORTHBROOK, IL 60065
- Mailing Phone
- (847) 593-8460
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-13-2018
- Last Update Date
- 10-06-2025
- Code Navigator
Location Map
Secondary Locations
- 3875 Austell Rd Ste 201A
Austell, GA 30106
(470) 372-1901 - 1200 Johnson Ferry Rd Ste T-100A
Marietta, GA 30068
(470) 435-7040 - 1800 Howell Mill Rd NW Ste 130A
Atlanta, GA 30318
(404) 532-1564
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
Surgery Vascular Surgery
- Taxonomy Code
- 2086S0129X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | |
| 2 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 3 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 207RI0011X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 6 | 2085R0204X | Allopathic & Osteopathic Physicians | Radiology | |
| 7 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 8 | 2086S0102X | Allopathic & Osteopathic Physicians | Surgery | |
| 9 | 208G00000X | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
- SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
- SoloCare Gold EPO $1500 DED 10010 - EPO
- SoloCare Silver EPO $5000 DED 10014 - EPO
- SoloCare Silver EPO $6500 DED 10013 - EPO
- SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
- SoloCare Standard Gold EPO $2000 DED 10006 - EPO
- SoloCare Standard Platinum EPO $0 DED 10005 - EPO
- SoloCare Standard Silver EPO $6000 DED 10007 - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 11D2169075
- Facility Type
- Physician Office
- Certificate Effective Date
- July 16, 2025
- Certificate Expiration Date
- July 15, 2027
- Laboratory Director
- SHETH SACHIN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Usa Vascular Center Of Decatur 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 1487133278, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487133278, enumerated as an "organization" on August 13, 2018.
The provider is located at 495 WINN WAY STE 230 DECATUR, GA 30030 and the phone number is (847) 593-8460.
Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.
The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to verify.
