Active NPI
SN Cardiology Associates LLC
- Interventional Cardiology Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sanjeev Unnikrishnan Nair
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 415641601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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
- 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.
-
- Interventional Cardiology Physician
- Fort Worth, TX
- NPI 1962656801
-
- Cardiovascular Disease Physician
- Colleyville, TX
- NPI 1760449680
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.