Cardiovascular Care Consultants S.C.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CARDIOVASCULAR CARE CONSULTANTS S.C.

Practice address

4950 W 95TH St
Oak Lawn, IL 60453-2504

Phone

(708) 576-8150

Fax

(708) 576-8831

NPI assigned

Sep 19, 2011

Last updated

Jan 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jill Scalzo, RN, MS, MBA

Title

Coo

Phone

(708) 741-4405

Specialties & licenses 1

Addresses

Other names 1

• MIDAMERICA HEART AND VASCULAR ASSOCIATES SC Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 8

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.

• Surendra B Avula, MD

  • Cardiovascular Disease Physician
  • Oak Lawn, IL
  • NPI 1275526071
  Medicare reassignment Care Compare group NPD
• Maureen A McCafferty, RN, APN

  • Clinical Nurse Specialist
  • Oak Lawn, IL
  • NPI 1669465480
  Medicare reassignment Care Compare group NPD
• Gautam K Patel, MD

  • Cardiovascular Disease Physician
  • Oak Lawn, IL
  • NPI 1699768432
  Medicare reassignment Care Compare group NPD
• Dinker A Trivedi, MD

  • Cardiovascular Disease Physician
  • Oak Lawn, IL
  • NPI 1750374500
  Medicare reassignment Care Compare group NPD
• Allison Hofferth, FNP-BC

  • Family Nurse Practitioner
  • Oak Lawn, IL
  • NPI 1326685892
  Medicare reassignment NPD
• Amy Pacella, N.P.

  • Gerontology Nurse Practitioner
  • Oak Lawn, IL
  • NPI 1124573084
  Medicare reassignment NPD
• Maitrayee Sundaresan Vadali, MD

  • Cardiovascular Disease Physician
  • Palos Heights, IL
  • NPI 1013900851
  Medicare reassignment NPD
• Michael Thomas Flisak, DO

  • Interventional Cardiology Physician
  • Michigan City, IN
  • NPI 1548426943

  Cardiovascular Disease, IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1164704805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532504",
            "telephone_number": "708-576-8150",
            "fax_number": "708-576-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532504",
            "telephone_number": "708-576-8150",
            "fax_number": "708-576-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR CARE CONSULTANTS S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-19",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "SCALZO",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "708-741-4405",
        "authorized_official_credential": "RN, MS, MBA"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDAMERICA HEART AND VASCULAR ASSOCIATES SC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Trina Kayeum Capelli, MD
• Patricia Capers, PMHNP
• Christina M Caraballo, PA-C
• Cardio Medical Center SC
• Cardiothoracic & Vascular Surgical Associates S C
• Cardiovascular Surgeons LTD
• Cynthia A Carlson, RD,LDN
• Rebecca Carlson, LCSW
• Meaghan Reich Carnevale, CRNP
• Carney Speech & Feeding LLC

• Cardiovascular Disease Physician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.