Individual provider Active NPI

Gustavo A Cardenas, MD

  • Cardiovascular Disease Physician
  • Delray Beach, FL
National Provider Identifier
1518009331
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME101884 Issued in FL
Practice address
13550 Jog Rd
Suite 204
Delray Beach, FL 33446-3808
Phone
(561) 515-0080
Fax
(561) 300-8620
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME101884 FL Primary
Interventional Cardiology Physician 207RI0011X ME101884 FL

Addresses

Primary practice location

13550 Jog Rd
Suite 204
Delray Beach, FL 33446-3808

Mailing address

13550 Jog Rd
Suite 204
Delray Beach, FL 33446-3808
Phone (561) 515-0080

Other identifiers 2

IdentifierTypeStateIssuer
000343900MedicaidFL
68385OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081118000777 FL Practitioner - Cardiovascular Disease (Cardiology) 5799874723 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ecg Consultants of Bethesda LLCGroup PAC ID 8628134665, 20 clinicians
Delray Ekg Readers LLCGroup PAC ID 6901703909, 32 clinicians
South Palm Cardiovascular Associates LLCGroup PAC ID 8325328594, shared by 2 NPIs, 12 clinicians

Practice addresses (Care Compare)

2815 S Seacrest Blvd
Boynton Beach, FL 33435-7995
Phone (561) 737-7733

2815 S Seacrest Blvd
Attn Finance
Boynton Beach, FL 33435-7934

5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (954) 726-1808

6238 Atlantic Ave
Delray Beach, FL 33484-3501
Phone (561) 515-0080

Hospital & facility affiliations

  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting25
Varicose vein removal44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME101884FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boca Raton Regional Hospital, Inc. CurrentSince Aug 21, 2016 Accepting new patients
South Palm Cardiovascular Associates LLC Cardiovascular Disease Current Accepting new patients
Boca Raton Ekg Readers Inc Cardiovascular Disease CurrentSince Mar 1, 2018 Accepting new patients
Delray Ekg Readers LLC Cardiovascular Disease CurrentSince Sep 1, 2025 Accepting new patients
South Palm Cardiovascular Associates LLC CurrentSince Aug 21, 2016 Accepting new patients
Ecg Consultants of Bethesda LLC Cardiovascular Disease CurrentSince Sep 1, 2014 Accepting new patients

Locations

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

2300 S Congress Ave
Ste 105
Boynton Beach, FL 33426
Phone (561) 733-5001

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

13550 S Jog Rd
Ste 204
Delray Beach, FL 33446
Phone (561) 637-4200

6238 Atlantic Ave
Delray Beach, FL 33484
Phone (561) 278-1910

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1518009331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13550 JOG RD",
            "address_2": "SUITE 204",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463808",
            "telephone_number": "561-515-0080",
            "fax_number": "561-300-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13550 JOG RD",
            "address_2": "SUITE 204",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463808",
            "telephone_number": "561-515-0080",
            "fax_number": "561-300-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "GUSTAVO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME101884",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME101884",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000343900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "68385",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.