Individual provider Active NPI

Surexa S Cacodcar, M.D.

  • Cardiovascular Disease Physician
  • Ocala, FL
National Provider Identifier
1104826684
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME81642 Issued in FL
Practice address
3310 SW 34TH St
Ocala, FL 34474-7422
Phone
(352) 387-3159
Fax
(352) 873-1095
NPI assigned
Jul 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME81642 FL Primary

Addresses

Primary practice location

3310 SW 34TH St
Ocala, FL 34474-7422

Mailing address

3310 SW 34TH St
Ocala, FL 34474-7422
Phone (352) 387-3159

Other identifiers 1

IdentifierTypeStateIssuer
262257200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070413000103 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9830294214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocala Heart Clinic II LLCGroup PAC ID 4880772615, 5 clinicians

Practice addresses (Care Compare)

1500 Sw1St Ave
Ocala, FL 34471-6504
Phone (352) 351-7200

17820 SE 109TH Ave
109 CFHC Spruce Creek
Summerfield, FL 34491-8968
Phone (352) 387-3159

3310 SW 34 St
Ocala, FL 34474-7422
Phone (352) 873-0707

4600 Sw46Th CT
Ocala, FL 34474-5708
Phone (352) 291-3000

Hospital & facility affiliations

  • Marion Communtiy Hospital Hospital, Ocala, FL, CCN 100212
  • Adventhealth Ocala Hospital, Ocala, FL, CCN 100062

Merit-based Incentive Payment System (MIPS)

Final score
82.62 of 100Reported as group
Quality
65.44
Improvement activities
40
Cost
83.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Heart Clinic II LLC Cardiovascular Disease CurrentSince Oct 22, 2008 Accepting new patients
Cardiovascular Institute of Central Florida, LLC Past Accepting new patients
Cardiac Imaging Inc Past Accepting new patients
Cardiovascular Institute of Central Florida, LLC Cardiovascular Disease Past Accepting new patients

Locations

3310 SW 34th St
Ocala, FL 34474
Phone (352) 237-4004

2101 SW 20th Pl
Ocala, FL 34471
Phone (352) 237-5944

17820 SE 109th Ave
Ste 109
Summerfield, FL 34491
Phone (352) 205-4645

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229040000000",
    "number": "1104826684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 SW 34TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344747422",
            "telephone_number": "352-387-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 SW 34TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344747422",
            "telephone_number": "352-387-3159",
            "fax_number": "352-873-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACODCAR",
        "first_name": "SUREXA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2008-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME81642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262257200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.