Sports & Performance Cardiology LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

SPORTS & PERFORMANCE CARDIOLOGY LLC

Practice address

8401 Connecticut Ave Ste 104
Chevy Chase, MD 20815-5803

Phone

(240) 892-7070

Fax

(240) 248-0606

NPI assigned

Oct 31, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ankit B Shah, M.D.

Title

Medical Director

Phone

(617) 230-8262

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1033826011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 ELM ST APT W405",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143818",
            "telephone_number": "617-230-8262",
            "fax_number": "240-248-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 CONNECTICUT AVE STE 104",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208155803",
            "telephone_number": "240-892-7070",
            "fax_number": "240-248-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS & PERFORMANCE CARDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ANKIT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "617-230-8262",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Coudenhove Psychotherapy, LLC
• Cecilia Sorto
• Sound Mind Health
• Karen Alice Southworth, PH.D.
• Sport and Spine Rehab of Chevy Chase
• Faith M Sproul, PH.D.
• Alexandra St. Clair, OT
• Allison Rinker St. John
• John Kintner Starr, M. D.
• Christina Mariagda-Buas Stayeas, DPT, MSPT

• Cardiovascular Disease Physician in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Cardiovascular Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.