Organization Active NPI

SN Cardiology Associates LLC

  • Interventional Cardiology Physician
  • Fort Worth, TX
National Provider Identifier
1487279378
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
SN CARDIOLOGY ASSOCIATES LLC
Practice address
800 8TH Ave Ste 616
Fort Worth, TX 76104-2605
Phone
(817) 577-7042
Fax
(205) 894-7685
NPI assigned
Jun 16, 2020
Last updated
May 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Authorized official

Name
Sanjeev Unnikrishnan NairNPI 1962656801
Title
Physician Owner
Phone
(817) 577-7042

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

800 8TH Ave Ste 616
Fort Worth, TX 76104-2605

Mailing address

2101 Shannon Oxmoor Rd # 270
Shannon, AL 35142-2000
Phone (205) 880-7887

Other practice location 1

3025 N Tarrant Pkwy Ste 100
Fort Worth, TX 76177-8625
Phone (817) 577-7042

Other identifiers 1

IdentifierTypeStateIssuer
415641601MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200817000092 TX Part B Supplier - Clinic/Group Practice 8820414204 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Worth, TX; Houston, TX

National Provider Directory

National Provider Directory

Locations

3025 N Tarrant Pkwy
Ste 100
Fort Worth, TX 76177
Phone (469) 930-4655

800 8th Ave
Ste 616
Fort Worth, TX 76104
Phone (817) 243-7995

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1487279378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 SHANNON OXMOOR RD # 270",
            "city": "SHANNON",
            "state": "AL",
            "postal_code": "351422000",
            "telephone_number": "205-880-7887",
            "fax_number": "205-894-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 8TH AVE STE 616",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042605",
            "telephone_number": "817-577-7042",
            "fax_number": "205-894-7685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3025 N Tarrant Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761778625",
            "country_code": "US",
            "telephone_number": "817-577-7042",
            "fax_number": "205-894-7685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SN CARDIOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "NAIR",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_middle_name": "UNNIKRISHNAN",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "817-577-7042"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415641601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.