Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael K. Deiparine, MD

Individual provider Vascular Surgery Physician · NPI 1720124191

Michael K. Deiparine, MD is a Vascular Surgery in Liberty, Missouri. Graduated from University of Wisconsin School of Medicine in 1989, 37 years ago. Practices with Midwest Aortic and Vascular Institute PC, a 5-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
37
Trained at
University of Wisconsin School of Medicine
Licensed in
MO
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2521 Glenn Hendren Dr Ste 112
Liberty, MO 64068-3388
Phone: (816) 781-5006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 108296 (MO)

Record details

NPI number1720124191
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 30, 2007
Last updated in NPPESJune 24, 2011
Mailing address7904 Raines Rd, Liberty, MO 64068-8585

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Also practisesGENERAL SURGERY
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Midwest Aortic And Vascular Institute Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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