Organization Active NPI

Comprehensive Cardiovascular Specialists LLC

  • Cardiovascular Disease Physician
  • Winter Haven, FL
National Provider Identifier
1043630288
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
COMPREHENSIVE CARDIOVASCULAR SPECIALISTS LLC
Practice address
320 1St St N
Winter Haven, FL 33881-4113
Phone
(646) 295-5136
Fax
(863) 508-6326
NPI assigned
Apr 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Authorized official

Name
Zaheed TaiNPI 1487611299
Title
Owner
Phone
(646) 295-5136

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

320 1St St N
Winter Haven, FL 33881-4113

Mailing address

320 1St St N
Winter Haven, FL 33881-4113
Phone (646) 295-5136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140609001945 FL Part B Supplier - Clinic/Group Practice 2365666567 Receives reassigned benefits from 8 practitioners
Practice locations: Davenport, FL; Winter Haven, FL

National Provider Directory

National Provider Directory

Locations

405 Lionel Way
Davenport, FL 33837
Phone (407) 412-0111

105 Park Place Blvd
Unit 5B
Davenport, FL 33837

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEDGBA

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1043630288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 1ST ST N",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814113",
            "telephone_number": "646-295-5136",
            "fax_number": "863-508-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 1ST ST N",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814113",
            "telephone_number": "646-295-5136",
            "fax_number": "863-508-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CARDIOVASCULAR SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-25",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "TAI",
        "authorized_official_first_name": "ZAHEED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-295-5136"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.