Organization Active NPI

Cardiovascular Diagnostic Center, PA

  • Cardiovascular Disease Physician
  • Glen Burnie, MD
National Provider Identifier
1295961027
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD37250 Issued in MD
Legal business name
CARDIOVASCULAR DIAGNOSTIC CENTER, PA
Practice address
325 Hospital Dr
Suite 108
Glen Burnie, MD 21061-5860
Phone
(410) 863-8860
Fax
(410) 766-7305
NPI assigned
Jun 8, 2009
Last updated
Jun 8, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
CARDIOVASCULAR DIAGNOSTIC CENTER, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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

Authorized official

Name
Dr. Ashwani K Bassi, M.DNPI 1790744472
Title
Preseident
Phone
(410) 863-8860

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X MD37250 MD Primary

Addresses

Primary practice location

325 Hospital Dr
Suite 108
Glen Burnie, MD 21061-5860

Mailing address

325 Hospital Dr
Suite 108
Glen Burnie, MD 21061-5860
Phone (410) 863-8860

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090715000658 MD Part B Supplier - Clinic/Group Practice 8729130109 Receives reassigned benefits from 1 practitioner
Practice locations: Glen Burnie, MD

National Provider Directory

National Provider Directory
Part of
Cardiovascular Diagnostic Center PA

Locations

325 Hospital Dr
Ste 108
Glen Burnie, MD 21061
Phone (240) 678-7309

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1295961027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 HOSPITAL DR",
            "address_2": "SUITE 108",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615860",
            "telephone_number": "410-863-8860",
            "fax_number": "410-766-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 HOSPITAL DR",
            "address_2": "SUITE 108",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615860",
            "telephone_number": "410-863-8860",
            "fax_number": "410-766-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR DIAGNOSTIC CENTER, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARDIOVASCULAR DIAGNOSTIC CENTER, PA",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "BASSI",
        "authorized_official_first_name": "ASHWANI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESEIDENT",
        "authorized_official_telephone_number": "410-863-8860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "MD37250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.