NPIMap

Organization Active NPI

Dubois Regional Cardiology Associates LLC

  • Cardiovascular Disease Physician
  • Du Bois, PA
National Provider Identifier
1477594232
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
DUBOIS REGIONAL CARDIOLOGY ASSOCIATES LLC
Practice address
145 Hospital Ave
Suite 211
Du Bois, PA 15801-1464
Phone
(814) 375-3722
Fax
(814) 339-6165
NPI assigned
Jun 10, 2006
Last updated
Mar 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Dr. Jayaseelan Ambrose, MDNPI 1437155363
Title
Owner
Phone
(814) 375-3722

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

145 Hospital Ave
Suite 211
Du Bois, PA 15801-1464

Mailing address

145 Hospital Ave
Suite 211
Du Bois, PA 15801-1464
Phone (814) 375-3722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040714001185 PA Part B Supplier - Clinic/Group Practice 6800875832 Receives reassigned benefits from 15 practitioners
Practice locations: Brookville, PA; Clearfield, PA; Du Bois, PA; Saint Marys, PA

National Provider Directory

National Provider Directory

Locations

807 Turnpike Ave
Ste 110
Clearfield, PA 16830
Phone (814) 375-3722

807 Turnpike Ave
Ste 113
Clearfield, PA 16830

809 Turnpike Ave
Ste 110
Clearfield, PA 16830
Phone (814) 375-3722

145 Hospital Ave
Ste 113
Dubois, PA 15801
Phone (814) 375-3722

145 Hospital Ave
Ste 211
Dubois, PA 15801
Phone (814) 375-2070

21884 Route 119
Punxsutawney, PA 15767
Phone (814) 375-3800

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1477594232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 HOSPITAL AVE",
            "address_2": "SUITE 211",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011464",
            "telephone_number": "814-375-3722",
            "fax_number": "814-339-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HOSPITAL AVE",
            "address_2": "SUITE 211",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011464",
            "telephone_number": "814-375-3722",
            "fax_number": "814-339-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBOIS REGIONAL CARDIOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "AMBROSE",
        "authorized_official_first_name": "JAYASEELAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-375-3722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "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 Du Bois, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.