Organization Active NPI

Cardiology & Vascular Care Center LLC

  • Interventional Cardiology Physician
  • Port Charlotte, FL
National Provider Identifier
1326201070
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME77996 Issued in FL
Legal business name
CARDIOLOGY & VASCULAR CARE CENTER LLC
Practice address
3115 Harbor Blvd
Port Charlotte, FL 33952-6729
Phone
(941) 258-3635
NPI assigned
Jul 2, 2008
Last updated
Nov 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Hiren K. Patel, M.D.NPI 1114951225
Title
President Manager
Phone
(941) 380-4820

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
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X ME77996 FL Primary

Addresses

Primary practice location

3115 Harbor Blvd
Port Charlotte, FL 33952-6729

Mailing address

3115 Harbor Blvd
Port Charlotte, FL 33952-6729
Phone (941) 258-3635

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090216000375 FL Part B Supplier - Clinic/Group Practice 8820153455 Receives reassigned benefits from 5 practitioners
Practice locations: Port Charlotte, FL

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
10D1089730Cardiology & Vascular Care Center3115 Harbor Blvd, Port Charlotte, FL 33952Certificate of waiverSep 24, 2026

National Provider Directory

National Provider Directory

Locations

3524 Tamiami Trl
Ste 106
Port Charlotte, FL 33952
Phone (941) 258-3635

3115 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 258-3635

Practitioners & affiliated clinicians

Practitioners 6

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": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1326201070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 HARBOR BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526729",
            "telephone_number": "941-258-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 HARBOR BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526729",
            "telephone_number": "941-258-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY & VASCULAR CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HIREN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT MANAGER",
        "authorized_official_telephone_number": "941-380-4820",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME77996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.