Organization Active NPI

Pittsburgh Cardiac Electrophysiology Associates PC

  • Clinical Cardiac Electrophysiology Physician
  • Macon, GA
National Provider Identifier
1245255298
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
Legal business name
PITTSBURGH CARDIAC ELECTROPHYSIOLOGY ASSOCIATES PC
Practice address
754 1St St
Macon, GA 31201-6884
Phone
(478) 259-0089
Fax
(478) 259-3421
NPI assigned
Jul 12, 2006
Last updated
May 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Authorized official

Name
Dr. Puvalai Vijakumar, MD
Title
Owner
Phone
(412) 418-1740

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU
Clinical Cardiac Electrophysiology Physician 207RC0001X MD041441E PA
Clinical Cardiac Electrophysiology Physician 207RC0001X NU Primary

Addresses

Primary practice location

754 1St St
Macon, GA 31201-6884

Mailing address

5009 Tucker RDG
Macon, GA 31210-2960
Phone (478) 259-0089

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220414000070 GA Part B Supplier - Clinic/Group Practice 1850471632 Receives reassigned benefits from 1 practitioner
Practice locations: Warner Robins, GA; Macon, GA

National Provider Directory

National Provider Directory

Locations

754 1st St
Macon, GA 31201
Phone (478) 259-0089

2775 Mosside Blvd
Monroeville, PA 15146
Phone (412) 357-3000

4318 Northern Pike
Ste 205
Monroeville, PA 15146
Phone (412) 687-8838

400 45th St
Pittsburgh, PA 15201
Phone (412) 343-2924

5125 Liberty Ave
Pittsburgh, PA 15224
Phone (412) 687-8838

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1245255298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 TUCKER RDG",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102960",
            "telephone_number": "478-259-0089",
            "fax_number": "478-259-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 1ST ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016884",
            "telephone_number": "478-259-0089",
            "fax_number": "478-259-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTSBURGH CARDIAC ELECTROPHYSIOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "VIJAKUMAR",
        "authorized_official_first_name": "PUVALAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-418-1740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PA",
            "license": "MD041441E",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.