NPIMap

Organization Active NPI

New Coast Cardiology PLLC

  • Cardiovascular Disease Physician
  • Gulfport, MS
National Provider Identifier
1467562348
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
NEW COAST CARDIOLOGY PLLC
Practice address
1203 Broad Ave
Gulfport, MS 39501-2489
Phone
(228) 868-5555
Fax
(228) 574-2001
NPI assigned
Aug 30, 2006
Last updated
Jul 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Authorized official

Name
Manoj ShahNPI 1306956297
Title
MD
Phone
(228) 868-5555

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 NU Primary

Addresses

Primary practice location

1203 Broad Ave
Gulfport, MS 39501-2489

Mailing address

1203 Broad Ave
Gulfport, MS 39501-2489
Phone (228) 868-5555

Other identifiers 1

IdentifierTypeStateIssuer
09014791MedicaidMS

National Provider Directory

National Provider Directory

Locations

14055 Seaway Rd
#8187
Gulfport, MS 39503

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/204a45c4-fa47-4c88-b6c6-15100f41107e/

Practitioners & affiliated clinicians

Practitioners 6

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1467562348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 BROAD AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012489",
            "telephone_number": "228-868-5555",
            "fax_number": "228-574-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 BROAD AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012489",
            "telephone_number": "228-868-5555",
            "fax_number": "228-574-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW COAST CARDIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "228-868-5555"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09014791",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.