NPIMap

Organization Active NPI

Cardiovascular Specialists, LLC

  • Cardiovascular Disease Physician
  • Canal Winchester, OH
National Provider Identifier
1174859359
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35082038 Issued in OH
Legal business name
CARDIOVASCULAR SPECIALISTS, LLC
Practice address
7901 Diley Rd
Suite 260
Canal Winchester, OH 43110-9653
Phone
(740) 653-7511
Fax
(740) 653-7512
NPI assigned
Oct 23, 2009
Last updated
Mar 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
Dr. Shantanu Sinha, M.D.NPI 1124029426
Title
Co Owner
Phone
(740) 653-7511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35082038 OH Primary

Addresses

Primary practice location

7901 Diley Rd
Suite 260
Canal Winchester, OH 43110-9653

Mailing address

618 Pleasantville Rd
Suite 101
Lancaster, OH 43130-3312
Phone (740) 653-7511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090729000064 OH Part B Supplier - Clinic/Group Practice 3678626314 Receives reassigned benefits from 11 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Canal Winchester, OH; Lancaster, OH; Logan, OH

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Cardiovascular Specialists LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1174859359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 PLEASANTVILLE RD",
            "address_2": "SUITE 101",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303312",
            "telephone_number": "740-653-7511",
            "fax_number": "740-653-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 DILEY RD",
            "address_2": "SUITE 260",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109653",
            "telephone_number": "740-653-7511",
            "fax_number": "740-653-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "SINHA",
        "authorized_official_first_name": "SHANTANU",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "740-653-7511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35082038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Winchester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.