Cardiovascular Diseases of Niles, P.C.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

42240 Issued in MI

Legal business name

CARDIOVASCULAR DISEASES OF NILES, P.C.

Practice address

24 N Saint Joseph Ave
Suite a
Niles, MI 49120-2263

Phone

(269) 683-1120

Fax

(269) 683-4325

NPI assigned

Mar 21, 2008

Last updated

May 6, 2008By 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

Dr. Mundathaje Ishwara Bhat, M.D.

Title

President

Phone

(269) 683-1120

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Nagaraja D Sharma, MD

  • Cardiovascular Disease Physician
  • Hudson, FL
  • NPI 1275528804
  NPD (past)

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1285805879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 N SAINT JOSEPH AVE",
            "address_2": "SUITE A",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202263",
            "telephone_number": "269-683-1120",
            "fax_number": "269-683-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 N SAINT JOSEPH AVE",
            "address_2": "SUITE A",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202263",
            "telephone_number": "269-683-1120",
            "fax_number": "269-683-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR DISEASES OF NILES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "BHAT",
        "authorized_official_first_name": "MUNDATHAJE",
        "authorized_official_middle_name": "ISHWARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-683-1120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "42240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101365131",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI",
            "identifier": "0601110821",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Burpee, NP
• Melinda Bush, BS CADC
• Calm Lake Counseling, PLLC
• Joseph Houston Capps, RPT
• Cardiology Southwest, P.C.
• Amber Carlock
• Hayden Carpenter
• Mason Castro
• Chalet of Niles, LLC
• Melinda Chamberlain

• Cardiovascular Disease Physician in Niles, MI
• Providers in Niles, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.