Interventional Cardiology and Vascular Consultants, P.L.C.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

INTERVENTIONAL CARDIOLOGY AND VASCULAR CONSULTANTS, P.L.C.

Practice address

1206 N Mills Ave
Orlando, FL 32803-2560

Phone

(407) 898-8449

Fax

(407) 898-8756

NPI assigned

May 21, 2007

Last updated

Dec 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ashish Pal, M.D.,F.A.C.C.NPI 1376588582

Title

Ceo/Medical Director

Phone

(407) 898-8449

Specialties & licenses 3

Addresses

Other identifiers 23

Other names 2

• Dr. Ashish Pal M.D.,F.A.C.C. Other name
• ICVC of Dr. Ashish Pal M.D.,F.A.C.C. Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

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

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.

• Ashish Pal, M.D., F.A.C.C

  • Cardiovascular Disease Physician
  • Orlando, FL
  • NPI 1376588582

  Specialist

  Medicare reassignment NPD Authorized official
• Carlos M Baez Cubille, MD

  • General Practice Physician
  • Sebring, FL
  • NPI 1225082068
  NPD (past)
• Kulmeet S Kundlas, M.D.

  • Internal Medicine Physician
  • Sebring, FL
  • NPI 1336293497
  NPD (past)
• Sukumar Mathan, M.D.

  • Internal Medicine Physician
  • Haines City, FL
  • NPI 1386798452
  NPD (past)
• Parul Pal, M.D.

  • Ophthalmology Physician
  • Orlando, FL
  • NPI 1487699625

  Specialist

  NPD (past)
• Luis M Rodriguez Gonzalez, MD

  • General Practice Physician
  • Tampa, FL
  • NPI 1770504565

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1518175470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328032560",
            "telephone_number": "407-898-8449",
            "fax_number": "407-898-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328032560",
            "telephone_number": "407-898-8449",
            "fax_number": "407-898-8756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1026 Montana St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328032522",
            "country_code": "US",
            "telephone_number": "407-898-8449",
            "fax_number": "407-898-8756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4597 Casablanca Cir",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338701206",
            "country_code": "US",
            "telephone_number": "407-898-8449",
            "fax_number": "407-898-8756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Park Place Blvd",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338376857",
            "country_code": "US",
            "telephone_number": "407-898-8449",
            "fax_number": "407-898-8756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTERVENTIONAL CARDIOLOGY AND VASCULAR CONSULTANTS, P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "PAL",
        "authorized_official_first_name": "ASHISH",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "407-898-8449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,F.A.C.C."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1513060",
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        {
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            "issuer": "AETNA PPO",
            "identifier": "5083655",
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        },
        {
            "code": "01",
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            "issuer": "TRICARE -DAVENPORT LOCATION",
            "identifier": "10481803",
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        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN AGE",
            "identifier": "1095816",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA GROUP",
            "identifier": "225252",
            "state": "FL"
        },
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            "issuer": "SSS OF PUERTO RICO",
            "identifier": "32314",
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        {
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        {
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            "identifier": "WMTRX",
            "state": "FL"
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        {
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            "issuer": "TRICARE",
            "identifier": "10481801",
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        {
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            "issuer": "CIGNA PPO",
            "identifier": "107503044",
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            "issuer": "AETNA HMO",
            "identifier": "2004394",
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        {
            "code": "05",
            "desc": "MEDICAID",
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        },
        {
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        },
        {
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            "issuer": "FREEDOM",
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        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Ashish Pal M.D.,F.A.C.C.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dr. Ashish Pal M.D.,F.A.C.C.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "ICVC of Dr. Ashish Pal M.D.,F.A.C.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Cardiovascular Disease Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.