Boston Scientific Cardiac Diagnostic Services, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

BOSTON SCIENTIFIC CARDIAC DIAGNOSTIC SERVICES, LLC

Practice address

1717 N Sam Houston Pkwy W Ste 100
Houston, TX 77038-1324

Phone

(281) 760-0500

Fax

(866) 747-4799

NPI assigned

Jun 1, 2005

Last updated

Sep 23, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Tony Fiola

Title

Chief Executive Officer

Phone

(651) 260-4411

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 2

• Preventice Services LLC Former legal business name
• eCardio Diagnostics, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX, CA3 enrollments

Enrollment records 3

Locations

Practitioners 3

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.

• Jose R Cuellar Silva, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Webster, TX
  • NPI 1578760906
  NPD
• Cara Nadine Pellegrini, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • San Francisco, CA
  • NPI 1982834586
  NPD
• John D. Rogers, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • La Jolla, CA
  • NPI 1326003823
  NPD

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1063414258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N SAM HOUSTON PKWY W STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770381324",
            "telephone_number": "888-400-3522",
            "fax_number": "866-747-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N SAM HOUSTON PKWY W STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770381324",
            "telephone_number": "281-760-0500",
            "fax_number": "866-747-4799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5455 Great America Pkwy Ste 302",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "950543610",
            "country_code": "US",
            "telephone_number": "888-400-3522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Oyster Point Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "South San Francisco",
            "state": "CA",
            "postal_code": "940801917",
            "country_code": "US",
            "telephone_number": "888-400-3522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOSTON SCIENTIFIC CARDIAC DIAGNOSTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "FIOLA",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "651-260-4411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172529301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI PROVIDER #",
            "identifier": "7410317",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "009999",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "803138",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preventice Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "eCardio Diagnostics, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "eCardio Diagnostics, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Bostick Elder Care Consultants, LLC
• Rachael Elise Bostick-Mayweather
• Jody Bostick, LMSW
• Rosie M Bostick, PHD
• Boston Medical Group - Texas, P.a.
• Carlos Rodquae Boston, DDS, PT
• Cheline Boston
• Nicole Dawn Boston
• Quinetta Boston
• Bret Bostwick, M.D.

• Physiological Laboratory in Houston, TX
• Providers in Houston, TX by specialty
• Physiological Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.