Organization Active NPI

Cardiac and Vascular Association PC

  • Cardiovascular Disease Physician
  • Bloomfield Hills, MI
National Provider Identifier
1043455058
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIAC AND VASCULAR ASSOCIATION PC
Practice address
43344 Woodward Ave
Ste. 111
Bloomfield Hills, MI 48302-5049
Phone
(248) 333-1170
Fax
(248) 333-1175
NPI assigned
Dec 4, 2008
Last updated
Mar 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Authorized official

Name
Kiritkumar C Patel, M.D.NPI 1003871294
Title
Owner Representative
Phone
(248) 333-1170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X
Interventional Cardiology Physician 207RI0011X

Addresses

Primary practice location

43344 Woodward Ave
Ste. 111
Bloomfield Hills, MI 48302-5049

Mailing address

645 Barclay Cir
Rochester Hills, MI 48307-5804
Phone (248) 844-1010

Other identifiers 1

IdentifierTypeStateIssuer
0F38249OtherMIBCBSM

National Provider Directory

National Provider Directory

Locations

5701 Bow Pointe Dr
Ste 205
Clarkston, MI 48346
Phone (248) 625-5550

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1043455058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 BARCLAY CIR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075804",
            "telephone_number": "248-844-1010",
            "fax_number": "248-844-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43344 WOODWARD AVE",
            "address_2": "STE. 111",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025049",
            "telephone_number": "248-333-1170",
            "fax_number": "248-333-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC AND VASCULAR ASSOCIATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KIRITKUMAR",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER REPRESENTATIVE",
        "authorized_official_telephone_number": "248-333-1170",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0F38249",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.