MINIMALLY INVASIVE VASCULAR ASSOCIATES, LLC
NPI 1629749114
Radiology - Vascular & Interventional Radiology in Independence, MO

Active since September 23, 2021
4200 LITTLE BLUE PKWY STE 350, INDEPENDENCE, MO 64057(816) 648-6482 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 4, 2024, Sep 23, 2021 (2 updates tracked since 2021).

About Minimally Invasive Vascular Associates, Llc NPPES

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

MINIMALLY INVASIVE VASCULAR ASSOCIATES, LLC (NPI 1629749114) is a healthcare organization registered as a vascular & interventional radiology in Independence, Missouri and active in the NPI registry since September 2021. The organization lists Silas Williams, Member Physician, as its authorized official.

NPPES Registry Identity

NPI1629749114
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameMINIMALLY INVASIVE VASCULAR ASSOCIATES, LLC
Location Address4200 LITTLE BLUE PKWY STE 350Independence, MO 64057-8320
Mailing Address4200 Little Blue Pkwy Ste 350Independence, MO 64057-8320 · (816) 648-6482 · Fax (855) 618-2442
Organization SubpartNo
Authorized OfficialSilas WilliamsMember Physician · (816) 682-0651
Enumeration DateSeptember 23, 2021
Last NPPES UpdateMarch 4, 20242 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
✔ NPI 1629749114 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.
4200 LITTLE BLUE PKWY STE 350, Independence, MO 64057

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Minimally Invasive Vascular Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMissouriEnrollment IDO20211209001017Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Minimally Invasive Vascular Associates, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1538858337
2330 E MEYER BLVD. SUITE 411
Kansas City, MO 64132
(816) 363-2500
✔ PECOS✔ Accepts Medicare12 mi
Interventional Radiology
NPI 1134515661
2301 HOLMES ST
Kansas City, MO 64108
(816) 404-4862
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1982468468
19005 W 159TH TER
Olathe, KS 66062
(816) 804-8996
✔ PECOS✔ Accepts Medicare28 mi
Interventional Radiology
NPI 1851737290
1600 N 2ND ST
Clinton, MO 64735
(660) 885-5511
✔ PECOS✔ Accepts Medicare56 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 Minimally Invasive Vascular Associates, LLC's NPI number?

The NPI number for Minimally Invasive Vascular Associates, LLC is 1629749114. It was assigned to this organization in the NPPES registry on September 23, 2021.

Where is Minimally Invasive Vascular Associates, LLC located?

Minimally Invasive Vascular Associates, LLC is located at 4200 Little Blue Pkwy Ste 350, Independence, MO 64057. The listed phone number is (816) 648-6482.

What is Minimally Invasive Vascular Associates, LLC's specialty?

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

Is Minimally Invasive Vascular Associates, LLC enrolled in Medicare?

Yes. Minimally Invasive Vascular Associates, LLC is registered in the Medicare PECOS enrollment system.

When is Minimally Invasive Vascular Associates, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Missouri, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Minimally Invasive Vascular Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Minimally Invasive Vascular Associates, LLC, in Interventional Radiology and Nurse Practitioner. 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 Minimally Invasive Vascular Associates, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Minimally Invasive Vascular Associates, LLC 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 Minimally Invasive Vascular Associates, LLC was last updated on March 4, 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.