Organization Active NPI

Heart and Vascular Associates LLC

  • Specialist
  • Farmington, MO
National Provider Identifier
1336595198
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
HEART AND VASCULAR ASSOCIATES LLC
Practice address
130 Westmount Dr
Farmington, MO 63640-2970
Phone
(573) 756-1813
NPI assigned
May 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Authorized official

Name
Bryan Piotrowski, MDNPI 1962586289
Title
MD
Phone
(573) 756-1813

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

130 Westmount Dr
Farmington, MO 63640-2970

Mailing address

PO Box 897
Farmington, MO 63640-0897
Phone (573) 756-1813

Other practice location 1

611 W Main St
Fredericktown, MO 63645-1146
Phone (573) 756-1813

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160623000558 MO Part B Supplier - Clinic/Group Practice 7012208952 Receives reassigned benefits from 7 practitioners
Practice locations: Farmington, MO; Fredericktown, MO; St. Louis, MO

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
26D2113473Heart and Vascular Associates LLC130 Westmount Drive, Farmington, MO 63640Certificate of waiverMay 23, 2028

National Provider Directory

National Provider Directory

Locations

130 Westmount Dr
Farmington, MO 63640
Phone (573) 756-1813

540 Maple Valley Dr
Farmington, MO 63640
Phone (573) 756-1813

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDFFAD

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": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1336595198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 897",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636400897",
            "telephone_number": "573-756-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WESTMOUNT DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636402970",
            "telephone_number": "573-756-1813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 W Main St",
            "address_purpose": "LOCATION",
            "city": "Fredericktown",
            "state": "MO",
            "postal_code": "636451146",
            "country_code": "US",
            "telephone_number": "573-756-1813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEART AND VASCULAR ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "PIOTROWSKI",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "573-756-1813",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.