Organization Active NPI

Cardiovascular Consultants of St Augustine PL

  • Cardiovascular Disease Physician
  • Saint Augustine, FL
National Provider Identifier
1386728848
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME85299 Issued in FL
Legal business name
CARDIOVASCULAR CONSULTANTS OF ST AUGUSTINE PL
Practice address
2550 US 1 S
Saint Augustine, FL 32086-6194
Phone
(904) 823-8809
Fax
(904) 823-8851
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Dr. Ali Tutar, M.D.NPI 1538114624
Title
President
Phone
(904) 823-8809

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME85299 FL Primary

Addresses

Primary practice location

2550 US 1 S
Saint Augustine, FL 32086-6194

Mailing address

3501B N Ponce de Leon Blvd PMB 392
Saint Augustine, FL 32084-1400
Phone (904) 823-8809

Other practice location 1

377 Palm Coast Pkwy SW Unit 4
Palm Coast, FL 32137-4780
Phone (386) 597-4445

Other identifiers 1

IdentifierTypeStateIssuer
264667600MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050223000800 FL Part B Supplier - Clinic/Group Practice 5496708026 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Coast, FL; St Augustine, FL

National Provider Directory

National Provider Directory

Locations

377 Palm Coast Pkwy SW
Unit 4
Palm Coast, FL 32137
Phone (386) 597-4445

3501 N Ponce de Leon Blvd
Ste B
Saint Augustine, FL 32084

Practitioners & affiliated clinicians

Practitioners 1

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": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1386728848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501B N PONCE DE LEON BLVD PMB 392",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320841400",
            "telephone_number": "904-823-8809",
            "fax_number": "904-823-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 US 1 S",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320866194",
            "telephone_number": "904-823-8809",
            "fax_number": "904-823-8851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "377 Palm Coast Pkwy SW Unit 4",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321374780",
            "country_code": "US",
            "telephone_number": "386-597-4445",
            "fax_number": "386-597-4447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARDIOVASCULAR CONSULTANTS OF ST AUGUSTINE PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "TUTAR",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-823-8809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME85299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264667600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Augustine, FL

Sources for this page

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