Prime Cardiac Association P C

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PRIME CARDIAC ASSOCIATION P C

Practice address

12800 S Ridgeland Ave Ste D
Palos Heights, IL 60463-2391

Phone

(708) 389-7663

Fax

(708) 389-7664

NPI assigned

Jun 24, 2021

Organization subpart

No

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

Authorized official

Name

Chittaranjan A Patel, MDNPI 1477660801

Title

Owner

Phone

(219) 659-7000

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chittaranjan Ambalal Patel, MD

  • Internal Medicine Physician
  • Whiting, IN
  • NPI 1477660801
  NPD (past) Authorized official
• Pranav S Patel, MD

  • Internal Medicine Physician
  • Palos Heights, IL
  • NPI 1811067275
  NPD
• Jayesh M Madhani, MD

  • Cardiovascular Disease Physician
  • Whiting, IN
  • NPI 1457461576
  NPD (past)

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1265001010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10842 FRANK LN",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674594",
            "telephone_number": "219-659-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 S RIDGELAND AVE STE D",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632391",
            "telephone_number": "708-389-7663",
            "fax_number": "708-389-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARDIAC ASSOCIATION P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHITTARANJAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-659-7000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• John R Principe, MD
• Pro-Rehab Services, P.C.
• Professsional Health Associates LTD.
• Prompt Care Physicians
• Providence Operations, LLC

• Multi-Specialty Clinic/Center in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.