NPIMap

Organization Active NPI

Vertex Cardio Solutions LLC

  • Cardiovascular Disease Physician
  • Cumming, GA
National Provider Identifier
1295618973
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
VERTEX CARDIO SOLUTIONS LLC
Practice address
1165 Sanders Rd
Cumming, GA 30041-5965
Phone
(802) 735-0001
NPI assigned
Jul 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Kishore RasamalluNPI 1568667863
Title
MD/Owner
Phone
(210) 379-8553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

1165 Sanders Rd
Cumming, GA 30041-5965

Mailing address

12600 Deerfield Pkwy Ste 100
Alpharetta, GA 30004-6130
Phone (802) 735-0001

Other practice location 1

1968 Peachtree Rd NW Fl 6
Atlanta, GA 30309-1281
Phone (802) 735-0001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250923000893 GA Part B Supplier - Clinic/Group Practice 4284139247 Receives reassigned benefits from 3 practitioners
Practice locations: Atlanta, GA; Cumming, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1295618973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 DEERFIELD PKWY STE 100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046130",
            "telephone_number": "802-735-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 SANDERS RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300415965",
            "telephone_number": "802-735-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1968 Peachtree Rd NW Fl 6",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303091281",
            "country_code": "US",
            "telephone_number": "802-735-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VERTEX CARDIO SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "RASAMALLU",
        "authorized_official_first_name": "KISHORE",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "210-379-8553"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.