NPIMap

Organization Active NPI

Capital Cardiovascular Consultants, PLLC

Doing business as Capital Cardiovascular Specialists

  • Cardiovascular Disease Physician
  • Austin, TX
National Provider Identifier
1336118249
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CAPITAL CARDIOVASCULAR CONSULTANTS, PLLC
Doing business as
Capital Cardiovascular Specialists
Practice address
4207 James Casey St
Ste 215
Austin, TX 78745-3300
Phone
(512) 445-5998
Fax
(512) 445-6095
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Authorized official

Name
Denise D Nack, CPCS
Title
Medical Staff Coordinator
Phone
(512) 334-7855

Specialties & licenses 1

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

Addresses

Primary practice location

4207 James Casey St
Ste 215
Austin, TX 78745-3300

Mailing address

4207 James Casey St
Ste 215
Austin, TX 78745-3300
Phone (512) 445-5998

Other identifiers 2

IdentifierTypeStateIssuer
153865403MedicaidTX
0093HZOtherTXBCBS GROUP NUMBER

Other names 1

  • Capital Cardiovascular Specialists Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1336118249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 JAMES CASEY ST",
            "address_2": "STE 215",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453300",
            "telephone_number": "512-445-5998",
            "fax_number": "512-445-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 JAMES CASEY ST",
            "address_2": "STE 215",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453300",
            "telephone_number": "512-445-5998",
            "fax_number": "512-445-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL CARDIOVASCULAR CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "NACK",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL STAFF COORDINATOR",
        "authorized_official_telephone_number": "512-334-7855",
        "authorized_official_credential": "CPCS"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153865403",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0093HZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Cardiovascular Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.