Organization Active NPI

Cardiovascular Clinics PC

  • Cardiovascular Disease Physician
  • Knox, IN
National Provider Identifier
1407013097
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
50004087 Issued in IN
Legal business name
CARDIOVASCULAR CLINICS PC
Practice address
1901 S Heaton St
Knox, IN 46534-2325
Phone
(219) 756-1400
Fax
(219) 756-1413
NPI assigned
May 21, 2008
Last updated
Jun 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Dr. Harish A Shah, M.D.NPI 1740276682
Title
Partner
Phone
(219) 756-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 50004087 IN Primary

Addresses

Primary practice location

1901 S Heaton St
Knox, IN 46534-2325

Mailing address

200 E 86TH PL
Merrillville, IN 46410-6258
Phone (219) 756-1400

Other identifiers 1

IdentifierTypeStateIssuer
200195860MedicaidIN

National Provider Directory

National Provider Directory

Locations

1901 S Heaton St
Knox, IN 46534
Phone (574) 772-4885

1901 S Heaton St
#B
Knox, IN 46534
Phone (574) 772-6363

1501 Wabash St
Michigan City, IN 46360
Phone (219) 756-1400

Practitioners & affiliated clinicians

Practitioners 3

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": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1407013097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 86TH PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106258",
            "telephone_number": "219-756-1400",
            "fax_number": "219-756-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S HEATON ST",
            "city": "KNOX",
            "state": "IN",
            "postal_code": "465342325",
            "telephone_number": "219-756-1400",
            "fax_number": "219-756-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR CLINICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "HARISH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "219-756-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "50004087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200195860",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knox, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.