Cardiovascular Service Associates

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CARDIOVASCULAR SERVICE ASSOCIATES

Practice address

7425 W Irving Park Rd
Chicago, IL 60634-2139

Phone

(773) 585-7505

Fax

(773) 585-7507

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Bohdan Fedirko, MDNPI 1033163563

Title

Owner

Phone

(773) 585-7505

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bohdan Fedirko, MD

  • Legal Medicine
  • Chicago, IL
  • NPI 1033163563

  IL

  Medicare reassignment NPD Authorized official
• Maria Derylo, DNP MSN ANP BC

  • Adult Health Nurse Practitioner
  • Northbrook, IL
  • NPI 1316251176
  NPD

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1396799862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388309",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606388309",
            "telephone_number": "773-585-7505",
            "fax_number": "773-585-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606342139",
            "telephone_number": "773-585-7505",
            "fax_number": "773-585-7507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5838 S Harlem Ave",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "IL",
            "postal_code": "605011407",
            "country_code": "US",
            "telephone_number": "773-585-7505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4201 W 95th St",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604532615",
            "country_code": "US",
            "telephone_number": "773-585-7505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARDIOVASCULAR SERVICE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "FEDIRKO",
        "authorized_official_first_name": "BOHDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-585-7505",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cardiomedical Assoc, LTD.
• Cardionet, LLC
• Cardiothoracic & Vascular Surgeons & Assoc SC
• Cardiovascular Consultants G Sabir M D S C
• Cardiovascular Diagnostics, Inc.
• Diana Katerine Cardona Salazar, DMD, MS
• Zulma Cardona-Matos, MD
• Nicolle Valentina Cardona
• Rebecca Cardona, LCSW
• Sully Cardona, M.D

• All providers in Chicago, IL
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.