Organization Active NPI

Cardiovascular Institute of America PA

  • Cardiovascular Disease Physician
  • Tampa, FL
National Provider Identifier
1104291178
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOVASCULAR INSTITUTE OF AMERICA PA
Practice address
6328 Gunn Hwy Ste C
Tampa, FL 33625-4101
Phone
(813) 610-9510
NPI assigned
Dec 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Authorized official

Name
Muthusamy VelusamyNPI 1265432611
Title
Owner
Phone
(813) 610-9510

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

6328 Gunn Hwy Ste C
Tampa, FL 33625-4101

Mailing address

6328 Gunn Hwy Ste C
Tampa, FL 33625-4101
Phone (813) 610-9510

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160121000597 FL Part B Supplier - Clinic/Group Practice 0244533495 Receives reassigned benefits from 4 practitioners
Practice locations: Lutz, FL; Tampa, FL

National Provider Directory

National Provider Directory

Locations

6544 Gunn Hwy
Tampa, FL 33625
Phone (813) 610-9510

10959 Countryway Blvd
Tampa, FL 33626
Phone (813) 610-9510

202 N Armenia Ave
Tampa, FL 33609
Phone (727) 435-0377

6328 Gunn Hwy
Ste C
Tampa, FL 33625
Phone (813) 380-0610

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13084/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 7

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": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1104291178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6328 GUNN HWY STE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254101",
            "telephone_number": "813-610-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6328 GUNN HWY STE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254101",
            "telephone_number": "813-610-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR INSTITUTE OF AMERICA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "VELUSAMY",
        "authorized_official_first_name": "MUTHUSAMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-610-9510"
    },
    "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 Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.