Organization Active NPI

Cardiovascular Consultants of Cape Cod LLC

  • Cardiovascular Disease Physician
  • Hyannis, MA
National Provider Identifier
1316998313
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOVASCULAR CONSULTANTS OF CAPE COD LLC
Practice address
140 Yarmouth Road
Hyannis, MA 02601-3040
Phone
(508) 778-8818
NPI assigned
May 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Authorized official

Name
Michael Mecley, MDNPI 1609828920
Title
President
Phone
(508) 778-8818

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 Primary

Addresses

Primary practice location

140 Yarmouth Road
Hyannis, MA 02601-3040

Mailing address

140 Yarmouth Rd
Hyannis, MA 02601-3040
Phone (508) 778-8818

Other identifiers 3

IdentifierTypeStateIssuer
7911407OtherMACIGNA GROUP NUMBER
9748610MedicaidMA
649883OtherMATUFTS GROUP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060523000166 MA Part B Supplier - Clinic/Group Practice 8426069808 Receives reassigned benefits from 6 practitioners
Practice locations: Hyannis, MA; Orleans, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2210173Cardiovascular Consultants of Cape Cod140 Yarmouth Road, Hyannis, MA 02601Certificate of waiverJan 19, 2027

National Provider Directory

National Provider Directory

Locations

140 Yarmouth Rd
#2
Hyannis, MA 02601

140 Yarmouth Rd
Hyannis, MA 02601
Phone (508) 775-6131

81 Old Colony Way
Orleans, MA 02653
Phone (508) 240-1141

Practitioners & affiliated clinicians

Practitioners 7

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": "1147564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1316998313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 YARMOUTH RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013040",
            "telephone_number": "508-778-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 YARMOUTH ROAD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013040",
            "telephone_number": "508-778-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR CONSULTANTS OF CAPE COD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-14",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "MECLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-778-8818",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GROUP NUMBER",
            "identifier": "7911407",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9748610",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS GROUP NUMBER",
            "identifier": "649883",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.