Innovation Cardiology Group LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

INNOVATION CARDIOLOGY GROUP LLC

Practice address

400 Gresham Dr Ste 100
Norfolk, VA 23507-1901

Phone

(757) 201-9571

Fax

(757) 663-5662

NPI assigned

Dec 17, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Mohit Bhasin, MDNPI 1124070693

Title

Provider

Phone

(757) 201-9571

Specialties & licenses 1

Addresses

Other names 1

• INNOVATION CARDIOLOGY GROUP, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 3

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

• Mohit Bhasin, MD

  • Cardiovascular Disease Physician
  • Norfolk, VA
  • NPI 1124070693
  Medicare reassignment NPD Authorized official
• Hannah Lee Burmeister, NP

  • Family Nurse Practitioner
  • Norfolk, VA
  • NPI 1568110104
  Medicare reassignment NPD
• Michael Lucas Gambill, DO

  • Cardiovascular Disease Physician
  • Williamsburg, VA
  • NPI 1679769202
  Medicare reassignment NPD

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1104464577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GRESHAM DR STE 100",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071901",
            "telephone_number": "757-201-9571",
            "fax_number": "757-663-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GRESHAM DR STE 100",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071901",
            "telephone_number": "757-201-9571",
            "fax_number": "757-663-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATION CARDIOLOGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "BHASIN",
        "authorized_official_first_name": "MOHIT",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "757-201-9571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INNOVATION CARDIOLOGY GROUP, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "INNOVATION CARDIOLOGY GROUP, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandi Morgan Ingram, CRNA
• Carolyn Elizabeth Ingram, FNP
• Jill Meredith Ingram, COTA/L
• Karae-Miyani D Ingram
• Teresa Inman Pond, NNP
• Innovative Joint Technologies
• Innovative Options Incorporated
• Stonsa N. Insinna, PH.D.
• Inspired Home Health LLC
• Inspired Physical Therapy

• Cardiovascular Disease Physician in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Cardiovascular Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.