Organization Active NPI

Cypress Cardiology PA

Doing business as Cypress Cardiology

  • Interventional Cardiology Physician
  • Flint, MI
National Provider Identifier
1528606241
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
CYPRESS CARDIOLOGY PA
Doing business as
Cypress Cardiology
Practice address
1286 S Linden Rd Ste a
Flint, MI 48532-3457
Phone
(810) 285-9996
Fax
(810) 820-3443
NPI assigned
Dec 12, 2019
Last updated
Apr 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Authorized official

Name
Farouk Belal, MDNPI 1629053996
Title
Owner
Phone
(863) 899-6735

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 Physician 207RI0011X NU Primary

Addresses

Primary practice location

1286 S Linden Rd Ste a
Flint, MI 48532-3457

Mailing address

1286 S Linden Rd Ste a
Flint, MI 48532-3457
Phone (810) 285-9996

Other identifiers 1

IdentifierTypeStateIssuer
N36490056MedicaidMI

Other names 1

  • CYPRESS CARDIOLOGY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200402002539 MI Part B Supplier - Clinic/Group Practice 1456435916 Receives reassigned benefits from 1 practitioner
Practice locations: Flint, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1528606241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1286 S LINDEN RD STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323457",
            "telephone_number": "810-285-9996",
            "fax_number": "810-820-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 S LINDEN RD STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323457",
            "telephone_number": "810-285-9996",
            "fax_number": "810-820-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS CARDIOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "BELAL",
        "authorized_official_first_name": "FAROUK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-899-6735",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N36490056",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CYPRESS CARDIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CYPRESS CARDIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.