Premier Cardiovascular Care of Dallas, PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

PREMIER CARDIOVASCULAR CARE OF DALLAS, PLLC

Practice address

3650 W Wheatland Rd Ste C
Dallas, TX 75237-4409

Phone

(469) 513-2666

Fax

(469) 513-2667

NPI assigned

Oct 23, 2016

Last updated

Jul 30, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tim Issac, MDNPI 1013116805

Title

Partner

Phone

(214) 205-8171

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 9

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.

• Tim T Issac, M.D.

  • Cardiovascular Disease Physician
  • Dallas, TX
  • NPI 1013116805
  Medicare reassignment Care Compare group NPD Authorized official
• Samantha Castillo, APRN, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Dallas, TX
  • NPI 1548031982
  Medicare reassignment Care Compare group NPD
• Ravi Chandrasekhara, MD

  • Cardiovascular Disease Physician
  • Dallas, TX
  • NPI 1457395360
  Medicare reassignment Care Compare group NPD
• Amit Guttigoli, MD

  • Cardiovascular Disease Physician
  • Duncanville, TX
  • NPI 1760417026
  Medicare reassignment Care Compare group NPD
• Rose Ifediora

  • Family Nurse Practitioner
  • Desoto, TX
  • NPI 1982385654
  Medicare reassignment Care Compare group NPD
• Alan Mack Taylor II, M.D.

  • Cardiovascular Disease Physician
  • Mansfield, TX
  • NPI 1649272923
  Medicare reassignment Care Compare group NPD
• Alicia Valdiviezo

  • Physician Assistant
  • Garland, TX
  • NPI 1043662034
  Medicare reassignment Care Compare group
• Robert E Edmonson, MD

  • Cardiovascular Disease Physician
  • Dallas, TX
  • NPI 1124062005
  Medicare reassignment NPD
• Nikhil Nalluri, M.D

  • Interventional Cardiology Physician
  • Desoto, TX
  • NPI 1518245935

  Cardiovascular Disease

  Medicare reassignment NPD

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

{
    "created_epoch": "1477180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1356892558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380098",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751380098",
            "telephone_number": "469-513-2666",
            "fax_number": "469-513-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 W WHEATLAND RD STE C",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752374409",
            "telephone_number": "469-513-2666",
            "fax_number": "469-513-2667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1018 E Wheatland Rd",
            "address_purpose": "LOCATION",
            "city": "Duncanville",
            "state": "TX",
            "postal_code": "751164914",
            "country_code": "US",
            "telephone_number": "469-513-2666",
            "fax_number": "469-513-2667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER CARDIOVASCULAR CARE OF DALLAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-23",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "ISSAC",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "214-205-8171",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.