Axis Cardiovascular, PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

AXIS CARDIOVASCULAR, PLLC

Practice address

4871 Williams Dr
BLDG. 1 Suite 105
Georgetown, TX 78633-2309

Phone

(407) 404-0210

NPI assigned

Aug 19, 2021

Last updated

Apr 20, 2022By 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

Faraz Kureshi, MD, MSCNPI 1437383080

Title

Director

Phone

(512) 240-5025

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Faraz Kureshi, MD, MSC

  • Cardiovascular Disease Physician
  • Georgetown, TX
  • NPI 1437383080

  Internal Medicine

  Medicare reassignment NPD Authorized official
• Rasikh Ajmal, M.D

  • Interventional Cardiology Physician
  • Lubbock, TX
  • NPI 1053602300

  Internal Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1538835533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4871 WILLIAMS DR",
            "address_2": "BLDG. 1 SUITE 105",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332309",
            "telephone_number": "512-240-5025",
            "fax_number": "833-913-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4871 WILLIAMS DR",
            "address_2": "BLDG. 1 SUITE 105",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332309",
            "telephone_number": "407-404-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS CARDIOVASCULAR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "KURESHI",
        "authorized_official_first_name": "FARAZ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "512-240-5025",
        "authorized_official_credential": "MD, MSC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RM1200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adult Congenital Heart Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Physician Alliance Group
• Austin Regional Clinic, PA (ARC - Georgetown)
• Austin's Doula Collective LLC (ATX Doulas)
• Darian Aviles, LCSW
• Axia Chiropractic LLC
• Marian Ayensu, M.D.
• Anne Ayoyi, MSN PMHNP-BC
• B Tano, M.D., P.a. (The Center for Asthma, Allergy, Immunology & Hormone Health (TCAAIH))
• Justin David Babineaux
• Mindy Block Bacchus, LPC

• Cardiovascular Disease Physician in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.