Individual provider Active NPI

Anton Lishmanov, M.D., PHD

  • Cardiovascular Disease Physician
  • Hudson, FL
National Provider Identifier
1275763757
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME132480 Issued in FL
Practice address
14100 Fivay Rd Ste 160
Hudson, FL 34667-7194
Phone
(727) 862-1080
Fax
(727) 863-3093
NPI assigned
Jul 20, 2009
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2012-01544 NC
Cardiovascular Disease Physician 207RC0000X 2012-01544 NC
Cardiovascular Disease Physician 207RC0000X E-13739 AR
Cardiovascular Disease Physician 207RC0000X ME132480 FL Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 201201544 NC
Critical Care Medicine (Internal Medicine) Physician 207RC0200X E-13739 AR
Interventional Cardiology Physician 207RI0011X E-13739 AR
Interventional Cardiology Physician 207RI0011X 201201544 NC
Interventional Cardiology Physician 207RI0011X ME132480 FL
Nuclear Cardiology Physician 207UN0901X 201201544 NC
Nuclear Cardiology Physician 207UN0901X E-13739 AR
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X E-13739 AR

Addresses

Primary practice location

14100 Fivay Rd Ste 160
Hudson, FL 34667-7194

Mailing address

14100 Fivay Rd Ste 160
Hudson, FL 34667-7194
Phone (277) 862-1080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL, GA, AR4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20121127000401 NC Practitioner - Internal Medicine 4688825532 Reassigns benefits to 2 organizations
I20170817003039 FL Practitioner - Interventional CardiologyPractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 4688825532 Reassigns benefits to 3 organizations
I20190117000049 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4688825532 Reassigns benefits to 1 organization
I20201130002004 AR Practitioner - Interventional Cardiology 4688825532 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bayonet Point/Hudson Cardiology AssociatesGroup PAC ID 7618005836, 4 clinicians

Practice addresses (Care Compare)

14100 Fivay Rd
Suite 160
Hudson, FL 34667-7194
Phone (727) 862-1080

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting30
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
E-13739ARMDCritical Care Medicine (Internal Medicine) Physician
201201544NCMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince May 5, 2022 Accepting new patients
Moses Cone Physician Services, Inc. Internal Medicine Current Accepting new patients
Moses Cone Physician Services Inc CurrentSince Nov 30, 2012 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince May 5, 2022 Accepting new patients
Moses Cone Medical Services, Inc. Internal Medicine CurrentSince Nov 30, 2012 Accepting new patients
Cardiology Interpreters Inc CurrentSince Mar 27, 2018 Accepting new patients
Arkansas Heart Hospital Rural Health Services, LLC Cardiovascular Disease CurrentSince Dec 9, 2020 Accepting new patients
Arkansas Heart Hospital, LLC Cardiovascular Disease CurrentSince Dec 9, 2020 Accepting new patients
University of Arkansas for Medical Sciences Internal Medicine Current Accepting new patients
North Brevard Medical Support, Inc CurrentSince Nov 1, 2022 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Nov 30, 2012 Accepting new patients
Bayonet Point/Hudson Cardiology Associates Cardiovascular Disease CurrentSince Jun 1, 2023 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Dec 9, 2020 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince May 5, 2022 Accepting new patients

Locations

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

1701 S Shackleford Rd
Little Rock, AR 72211
Phone (501) 219-7000

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671

14100 Fivay Rd
Ste 160
Hudson, FL 34667
Phone (727) 862-1080

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCBEBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCBEBA/Endpoint/GCBEBA

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1275763757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 FIVAY RD STE 160",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677194",
            "telephone_number": "277-862-1080",
            "fax_number": "727-863-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 FIVAY RD STE 160",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677194",
            "telephone_number": "727-862-1080",
            "fax_number": "727-863-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISHMANOV",
        "first_name": "ANTON",
        "credential": "M.D., PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2012-01544",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2012-01544",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "E-13739",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME132480",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NC",
            "license": "201201544",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AR",
            "license": "E-13739",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AR",
            "license": "E-13739",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NC",
            "license": "201201544",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME132480",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NC",
            "license": "201201544",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "AR",
            "license": "E-13739",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "AR",
            "license": "E-13739",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.