Organization Active NPI

Cardiac & Vascular Physicians

  • Cardiovascular Specialist/Technologist
  • Indianapolis, IN
National Provider Identifier
1467463398
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Specialist/TechnologistTaxonomy code 246X00000X
License
IN01040595A Issued in IN
Legal business name
CARDIAC & VASCULAR PHYSICIANS
Practice address
7855 S Emerson Ave
Suite N
Indianapolis, IN 46237-8668
Phone
(317) 859-3095
Fax
(317) 791-1765
NPI assigned
Aug 9, 2006
Last updated
Jul 21, 2022By the provider in NPPES
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
Mr. Elmer Pante Manalo, MD
Title
Director
Phone
(317) 791-1743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Specialist/Technologist 246X00000X IN01040595A IN Primary

Addresses

Primary practice location

7855 S Emerson Ave
Suite N
Indianapolis, IN 46237-8668

Mailing address

PO Box 781348
Indianapolis, IN 46278-8348
Phone (317) 791-1743

Other identifiers 1

IdentifierTypeStateIssuer
20061410MedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Cardiac Vascular Physicians2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

905 W Keegans Way
Greensburg, IN 47240
Phone (812) 663-2569

905 W Keegans Way
Ste 1
Greensburg, IN 47240
Phone (812) 663-2569

8051 S Emerson Ave
Ste 370
Indianapolis, IN 46237
Phone (317) 859-3095

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": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467463398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781348",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462788348",
            "telephone_number": "317-791-1743",
            "fax_number": "317-791-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 S EMERSON AVE",
            "address_2": "SUITE N",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378668",
            "telephone_number": "317-859-3095",
            "fax_number": "317-791-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC & VASCULAR PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MANALO",
        "authorized_official_first_name": "ELMER",
        "authorized_official_middle_name": "PANTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "317-791-1743",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "246X00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": "IN",
            "license": "IN01040595A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20061410",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.