NPIMap

Organization Active NPI

Interventional Cardiac Consultants PLC

  • Cardiovascular Disease Physician
  • Trinity, FL
National Provider Identifier
1104814714
Registry record updated Mar 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
INTERVENTIONAL CARDIAC CONSULTANTS PLC
Practice address
2035 Little Rd
Trinity, FL 34655-4421
Phone
(727) 842-9486
Fax
(727) 849-2623
NPI assigned
Oct 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2018

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

Authorized official

Name
Rene E Kunhardt, MDNPI 1114915824
Title
Authorized Official / MD
Phone
(727) 842-9486

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

2035 Little Rd
Trinity, FL 34655-4421

Mailing address

2035 Little Rd
Trinity, FL 34655-4421
Phone (727) 842-9486

Other identifiers 2

IdentifierTypeStateIssuer
40897OtherBLUE CROSS BLUE SHIELD
260351900MedicaidFL

Other names 1

  • Interventional Cardiac Consultants PLC Former legal business name

Practitioners 16

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

View all 16

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0997996Interventional Cardiac Consultants PLC2035 Little Rd, Trinity, FL 34655Certificate of waiverApr 1, 2028

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040923000744 FL Part B Supplier - Clinic/Group Practice 7719955061 Receives reassigned benefits from 13 practitioners
Practice locations: Trinity, FL; Tampa, FL; Hudson, FL; Clearwater, FL; New Port Richey, FL

National Provider Directory

National Provider Directory

Locations

5341 Grand Blvd
Ste 106
New Prt Rchy, FL 34652
Phone (727) 376-7820

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

3010 E 138th Ave
Ste 10
Tampa, FL 33613
Phone (813) 977-1414

2035 Little Rd
Ste 100
Trinity, FL 34655

2055 Little Rd
#5049
Trinity, FL 34655

2035 Little Rd
#203
Trinity, FL 34655

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1245/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520553600000",
    "number": "1104814714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 LITTLE RD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554421",
            "telephone_number": "727-842-9486",
            "fax_number": "727-849-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 LITTLE RD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554421",
            "telephone_number": "727-842-9486",
            "fax_number": "727-849-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL CARDIAC CONSULTANTS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2018-03-09",
        "status": "A",
        "authorized_official_last_name": "KUNHARDT",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL / MD",
        "authorized_official_telephone_number": "727-842-9486",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "40897",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260351900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interventional Cardiac Consultants PLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Trinity, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.