Organization Active NPI

St. Pantaleon Cardiology LLC

  • Interventional Cardiology Physician
  • Land O' Lakes, FL
National Provider Identifier
1437967338
Registry record updated Jun 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
ST. PANTALEON CARDIOLOGY LLC
Practice address
2716 Stonewood Park Loop
Land O Lakes, FL 34638-6213
Phone
(813) 360-1118
Fax
(557) 201-3626
NPI assigned
Dec 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2025

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

Authorized official

Name
Dr. Rami Khoury, MDNPI 1851739957
Title
MD
Phone
(813) 360-1118

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
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

2716 Stonewood Park Loop
Land O Lakes, FL 34638-6213

Mailing address

2716 Stonewood Park Loop
Land O Lakes, FL 34638-6213
Phone (813) 360-1118

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250303002977 FL Part B Supplier - Clinic/Group Practice 9234669789 Receives reassigned benefits from 1 practitioner
Practice locations: Land O Lakes, FL

National Provider Directory

National Provider Directory

Locations

2716 Stonewood Park Loop
Rm 2
Land O Lakes, FL 34638
Phone (813) 360-1118

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": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749340800000",
    "number": "1437967338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 STONEWOOD PARK LOOP",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346386213",
            "telephone_number": "813-360-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 STONEWOOD PARK LOOP",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346386213",
            "telephone_number": "813-360-1118",
            "fax_number": "557-201-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PANTALEON CARDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2025-06-08",
        "certification_date": "2025-06-08",
        "status": "A",
        "authorized_official_last_name": "KHOURY",
        "authorized_official_first_name": "RAMI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "813-360-1118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O' Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2025; 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.