Organization Active NPI

Heart Vein and Vascular LLC

  • Cardiovascular Disease Physician
  • Longwood, FL
National Provider Identifier
1447782875
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
HEART VEIN AND VASCULAR LLC
Practice address
2170 W State Road 434 Ste 190
Longwood, FL 32779-4976
Phone
(407) 990-1921
NPI assigned
Apr 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Babak Alex Vakili, M.D., F.A.C.C.NPI 1407877384
Title
President
Phone
(407) 928-7123

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

2170 W State Road 434 Ste 190
Longwood, FL 32779-4976

Mailing address

2170 W State Road 434 Ste 190
Longwood, FL 32779-4976
Phone (407) 990-1921

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170830001046 FL Part B Supplier - Clinic/Group Practice 8325311145 Receives reassigned benefits from 2 practitioners
Practice locations: Longwood, FL; Orlando, FL; Winter Park, FL

National Provider Directory

National Provider Directory

Locations

2170 W State Road 434
Ste 190
Longwood, FL 32779
Phone (407) 682-5222

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDBABD

Practitioners & affiliated clinicians

Practitioners 7

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": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1447782875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 W STATE ROAD 434 STE 190",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794976",
            "telephone_number": "407-990-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 W STATE ROAD 434 STE 190",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794976",
            "telephone_number": "407-990-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART VEIN AND VASCULAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VAKILI",
        "authorized_official_first_name": "BABAK",
        "authorized_official_middle_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-928-7123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.A.C.C."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.