Individual provider Active NPI

Viral Lathia, MD

  • Cardiovascular Disease Physician
  • Mansfield, TX
National Provider Identifier
1295931145
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
S0177 Issued in TX
Practice address
309 Regency Pkwy Ste 205
Mansfield, TX 76063-7305
Phone
(682) 499-1777
Fax
(682) 499-1779
NPI assigned
Jun 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 24429 MS
Cardiovascular Disease Physician 207RC0000X S0177 TX Primary

Addresses

Primary practice location

309 Regency Pkwy Ste 205
Mansfield, TX 76063-7305

Mailing address

309 Regency Pkwy Ste 205
Mansfield, TX 76063-7305
Phone (551) 208-1758

Other identifiers 1

IdentifierTypeStateIssuer
3933251MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190125000174 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6103958491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Cardiac and Vascular Care PLLCGroup PAC ID 2860861937, 3 clinicians

Practice addresses (Care Compare)

309 Regency Pkwy
Suite 205
Mansfield, TX 76063-7305
Phone (682) 499-1777

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting40
Pacemaker insertion or repair1-10
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24429MSMDCardiovascular Disease Physician
S0177TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Imaging Inc CurrentSince Nov 21, 2024 Accepting new patients
Complete Cardiac & Vascular Care, PLLC Cardiovascular Disease CurrentSince Dec 1, 2022 Accepting new patients

Locations

1018 E Wheatland Rd
Duncanville, TX 75116
Phone (214) 915-8967

309 Regency Pkwy
Ste 201
Mansfield, TX 76063
Phone (682) 400-8639

309 Regency Pkwy
Ste 205
Mansfield, TX 76063
Phone (682) 499-1777

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJJICD/Endpoint/FJJICD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FJJICD
  • Direct secure messaging: viral.lathia@ccvc.eclinicaldirectplus.com

Organizations & group practices 2

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

Hospital & facility affiliations 5

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": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1295931145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 REGENCY PKWY STE 205",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637305",
            "telephone_number": "551-208-1758",
            "fax_number": "682-499-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 REGENCY PKWY STE 205",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637305",
            "telephone_number": "682-499-1777",
            "fax_number": "682-499-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHIA",
        "first_name": "VIRAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "24429",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "S0177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3933251",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.