Organization Active NPI

Ab Cardiology, PLLC

  • Cardiovascular Disease Physician
  • Houston, TX
National Provider Identifier
1104014315
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
AB CARDIOLOGY, PLLC
Doing business as
Cardiology and Transplant Associates
Practice address
6624 Fannin St Ste 1990
Houston, TX 77030-2330
Phone
(713) 436-6653
Fax
(713) 436-6365
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Alexander Butkevich, MDNPI 1417980160
Title
Owner
Phone
(713) 436-6653

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

6624 Fannin St Ste 1990
Houston, TX 77030-2330

Mailing address

12234 Shadow Creek Pkwy Ste 6106
Pearland, TX 77584-7338
Phone (713) 436-6653

Other names 1

  • Cardiology and Transplant Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080421000151 TX Part B Supplier - Clinic/Group Practice 2062590896 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Houston, TX; Pearland, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ab Cardiology PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6624 Fannin St
Ste 1990
Houston, TX 77030
Phone (713) 436-6653

1920 Country Place Pkwy
Ste 303
Pearland, TX 77584
Phone (713) 436-6653

Practitioners & affiliated clinicians

Practitioners 1

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": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1104014315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12234 SHADOW CREEK PKWY STE 6106",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847338",
            "telephone_number": "713-436-6653",
            "fax_number": "713-436-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST STE 1990",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302330",
            "telephone_number": "713-436-6653",
            "fax_number": "713-436-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AB CARDIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "BUTKEVICH",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-436-6653",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiology and Transplant Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cardiology and Transplant Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.