Organization Active NPI

Cyfair Cardiology Assoc PA

  • Cardiovascular Disease Physician
  • Shenandoah, TX
National Provider Identifier
1366464273
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CYFAIR CARDIOLOGY ASSOC PA
Practice address
255 Ed English Dr Ste B
Shenandoah, TX 77385-8027
Phone
(281) 890-4886
Fax
(281) 894-2247
NPI assigned
Jul 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Jessica Pernia
Title
Revenue Cycle Specialist
Phone
(281) 890-4886

Specialties & licenses 1

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

Addresses

Primary practice location

255 Ed English Dr Ste B
Shenandoah, TX 77385-8027

Mailing address

255 Ed English Dr Ste B
Shenandoah, TX 77385-8027
Phone (281) 890-4886

Other identifiers 1

IdentifierTypeStateIssuer
036183401MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040805000218 TX Part B Supplier - Clinic/Group Practice 3971574682 Receives reassigned benefits from 3 practitioners
Practice locations: Shenandoah, TX

National Provider Directory

National Provider Directory

Locations

11111 Jones Rd
Ste 1
Houston, TX 77070
Phone (281) 808-7381

255 Ed English Dr
Ste B
Shenandoah, TX 77385
Phone (281) 890-4886

Practitioners & affiliated clinicians

Practitioners 5

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": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1366464273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 ED ENGLISH DR STE B",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858027",
            "telephone_number": "281-890-4886",
            "fax_number": "281-894-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 ED ENGLISH DR STE B",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858027",
            "telephone_number": "281-890-4886",
            "fax_number": "281-894-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYFAIR CARDIOLOGY ASSOC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "PERNIA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "REVENUE CYCLE SPECIALIST",
        "authorized_official_telephone_number": "281-890-4886"
    },
    "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": "036183401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.