NPIMap

Organization Active NPI

Cardiac Vision LLC

  • Cardiovascular Disease Physician
  • Jacksonville, FL
National Provider Identifier
1144651373
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIAC VISION LLC
Practice address
7807 Baymeadows Rd E
Suite 209
Jacksonville, FL 32256-9664
Phone
(904) 230-1204
Fax
(904) 230-1207
NPI assigned
Dec 13, 2013
Last updated
Dec 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Authorized official

Name
Junaid Abdul Ahmed, M.D.NPI 1376830109
Title
President
Phone
(312) 863-9630

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 Physician 207RC0000X Primary

Addresses

Primary practice location

7807 Baymeadows Rd E
Suite 209
Jacksonville, FL 32256-9664

Mailing address

1301 1St St S
Suite 1204
Jacksonville Beach, FL 32250-6443
Phone (312) 863-9630

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140225001134 FL Part B Supplier - Clinic/Group Practice 9032349733 Receives reassigned benefits from 124 practitioners
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

6817 Southpoint Pkwy
Ste 203
Jacksonville, FL 32216
Phone (904) 256-9202

Practitioners & affiliated clinicians

Practitioners 126

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 126

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1144651373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 1ST ST S",
            "address_2": "SUITE 1204",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506443",
            "telephone_number": "312-863-9630",
            "fax_number": "904-493-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7807 BAYMEADOWS RD E",
            "address_2": "SUITE 209",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569664",
            "telephone_number": "904-230-1204",
            "fax_number": "904-230-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "JUNAID",
        "authorized_official_middle_name": "ABDUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-863-9630",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.