Active NPI
Surexa S Cacodcar, M.D.
- Cardiovascular Disease Physician
- Ocala, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME81642
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262257200 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Adventhealth Ocala
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.62 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocala Heart Clinic II LLC | Cardiovascular Disease | Current | 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.
-
- Cardiovascular Disease Physician
- Ocala, FL
- NPI 1649442906
-
- Cardiac Rehabilitation Clinic/Center
- Ocala, FL
- NPI 1457166571
Cardiovascular Disease
-
- Specialist
- Ocala, FL
- NPI 1679666598
-
- Mobile Radiology Clinic/Center
- Oak Brook Terrace, IL
- NPI 1770830606
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ocala, FL
- NPI 1740772268
-
- General Acute Care Hospital
- Ocala, FL
- NPI 1841237930
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.