Individual provider Active NPI

Cyrus P Kavasmaneck, MD

  • Cardiovascular Disease Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1043453475
Registry record updated Apr 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME104056 Issued in FL
Practice address
3365 Burns Rd
Suite 101
Palm Beach Gardens, FL 33410-4326
Phone
(561) 775-1061
Fax
(561) 775-1064
NPI assigned
Apr 15, 2009
Last updated
Apr 15, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME104056 FL Primary

Addresses

Primary practice location

3365 Burns Rd
Suite 101
Palm Beach Gardens, FL 33410-4326

Mailing address

3365 Burns Rd
Suite 101
Palm Beach Gardens, FL 33410-4326
Phone (561) 775-1061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090702000367 FL Practitioner - Cardiovascular Disease (Cardiology) 6507917572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
West Virginia University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach Cardiology Center IncGroup PAC ID 8628064052, 6 clinicians

Practice addresses (Care Compare)

1210 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (561) 747-2234

3360 Burns Rd
Palm Beach Gardens, FL 33410-4323
Phone (561) 694-7188

3365 Burns Rd
Palm Beach Gardens, FL 33410-4302
Phone (561) 775-1061

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME104056FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Cardiology Center Inc Cardiovascular Disease CurrentSince Jul 1, 2009 Accepting new patients
Allergy and Asthma Care of the Palm Beaches, PA Past Accepting new patients
Palms West Imaging Inc Past Accepting new patients

Locations

3365 Burns Rd
Ste 101
Palm Beach Gardens, FL 33410
Phone (561) 627-4767

Interoperability endpoints

  • Direct secure messaging: ckavasmaneck20153@jupitermedicalcenter.direct-ci.com
  • Direct secure messaging: cyrus.kavasmaneck.1@5866.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/5866/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BIIGBA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239753600000",
    "number": "1043453475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 BURNS RD",
            "address_2": "SUITE 101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104326",
            "telephone_number": "561-775-1061",
            "fax_number": "561-775-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 BURNS RD",
            "address_2": "SUITE 101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104326",
            "telephone_number": "561-775-1061",
            "fax_number": "561-775-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVASMANECK",
        "first_name": "CYRUS",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-15",
        "last_updated": "2009-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME104056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.