NPIMap

Organization Active NPI

Cardiac Arrhythmia Institute PA

  • Clinical Cardiac Electrophysiology Physician
  • Punta Gorda, FL
National Provider Identifier
1124252846
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
ME92434 Issued in FL
Legal business name
CARDIAC ARRHYTHMIA INSTITUTE PA
Practice address
713 E Marion Ave
Suite 135
Punta Gorda, FL 33950-3872
Phone
(941) 205-2520
Fax
(941) 894-6184
NPI assigned
May 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Authorized official

Name
Sidney Peykar, MDNPI 1174748396
Title
Owner
Phone
(941) 205-2520

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
Clinical Cardiac Electrophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0001X ME92434 FL Primary

Addresses

Primary practice location

713 E Marion Ave
Suite 135
Punta Gorda, FL 33950-3872

Mailing address

PO Box 510363
Punta Gorda, FL 33951-0363
Phone (941) 205-2520

Other identifiers 1

IdentifierTypeStateIssuer
ME92434OtherFLSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090624000588 FL Part B Supplier - Clinic/Group Practice 5799836177 Receives reassigned benefits from 8 practitioners
Practice locations: Naples, FL; Port Charlotte, FL; Sarasota, FL

National Provider Directory

National Provider Directory

Locations

260 Beth Stacey Blvd
Ste B130
Lehigh Acres, FL 33936

3052 Harbor Blvd
Ste 2
Port Charlotte, FL 33952
Phone (941) 744-2640

21300 Gertrude Ave
Ste 3
Pt Charlotte, FL 33952
Phone (800) 771-7164

1400 Education Way
Pt Charlotte, FL 33948
Phone (800) 771-7164

Practitioners & affiliated clinicians

Practitioners 9

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": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1124252846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510363",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339510363",
            "telephone_number": "941-205-2520",
            "fax_number": "941-894-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 E MARION AVE",
            "address_2": "SUITE 135",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503872",
            "telephone_number": "941-205-2520",
            "fax_number": "941-894-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC ARRHYTHMIA INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-08",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "PEYKAR",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-205-2520",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME92434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME92434",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.