Organization Active NPI

Center for Cardiovascular Excellence Florida South LLC

  • Ambulatory Surgical Clinic/Center
  • Orlando, FL
National Provider Identifier
1396134797
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CENTER FOR CARDIOVASCULAR EXCELLENCE FLORIDA SOUTH LLC
Practice address
308 E Hazel St
Orlando, FL 32804-4023
Phone
(407) 930-6281
Fax
(407) 930-6294
NPI assigned
Jan 22, 2015
Last updated
Jan 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Dr. Nandkishore Ranadive, M.D.
Title
Sole Owner
Phone
(407) 930-6281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

308 E Hazel St
Orlando, FL 32804-4023

Mailing address

308 E Hazel St
Orlando, FL 32804-4023
Phone (407) 930-6281

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050922001083 FL Part B Supplier - Clinic/Group Practice 1951335553 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Orlando, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1396134797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 E HAZEL ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044023",
            "telephone_number": "407-930-6281",
            "fax_number": "407-930-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 E HAZEL ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044023",
            "telephone_number": "407-930-6281",
            "fax_number": "407-930-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CARDIOVASCULAR EXCELLENCE FLORIDA SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "RANADIVE",
        "authorized_official_first_name": "NANDKISHORE",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "407-930-6281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.