Organization Active NPI

Indiana Heart Hospital LLC

Doing business as Community Cardiology

  • Cardiovascular Disease Physician
  • Anderson, IN
National Provider Identifier
1427226893
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
INDIANA HEART HOSPITAL LLC
Doing business as
Community Cardiology
Practice address
1210B Medical Arts Blvd
Suite 217
Anderson, IN 46011-3461
Phone
(765) 298-4422
Fax
(765) 298-4926
NPI assigned
Feb 19, 2008
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Mr. Thomas Malasto
Title
Ceo
Phone
(317) 621-8050

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

1210B Medical Arts Blvd
Suite 217
Anderson, IN 46011-3461

Mailing address

920 N Shadeland Ave
Suite G1
Indianapolis, IN 46219-4898
Phone (317) 355-9783

Other identifiers 1

IdentifierTypeStateIssuer
200539450BMedicaidIN

Other names 1

  • Community Cardiology Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1427226893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N SHADELAND AVE",
            "address_2": "SUITE G1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194898",
            "telephone_number": "317-355-9783",
            "fax_number": "317-355-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210B MEDICAL ARTS BLVD",
            "address_2": "SUITE 217",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460113461",
            "telephone_number": "765-298-4422",
            "fax_number": "765-298-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA HEART HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "MALASTO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-621-8050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200539450B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.