Organization Active NPI

Cardiology Institute, Inc

  • Cardiovascular Disease Physician
  • Slidell, LA
National Provider Identifier
1568472595
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOLOGY INSTITUTE, INC
Practice address
1051 Gause Blvd
320
Slidell, LA 70458-2951
Phone
(985) 641-7577
Fax
(985) 643-0826
NPI assigned
Aug 9, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Mr. Yasser Kahled
Title
Chief Administrative Officer
Phone
(985) 649-1152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

1051 Gause Blvd
320
Slidell, LA 70458-2951

Mailing address

1051 Gause Blvd
320
Slidell, LA 70458-2951
Phone (985) 641-7577

Other practice location 1

1839 Cooper Rd Ste 100
Picayune, MS 39466-2835
Phone (601) 651-3500

Other practice location 2

64040 Highway 434 Ste 105
LaCombe, LA 70445-3499
Phone (985) 882-3261

Other identifiers 2

IdentifierTypeStateIssuer
09013682MedicaidMS
1942073MedicaidLA

National Provider Directory

National Provider Directory

Locations

64040 Highway 434
Ste 105
Lacombe, LA 70445
Phone (985) 882-3261

1051 Gause Blvd
Ste 320
Slidell, LA 70458
Phone (985) 641-7577

4540 Shepherd Sq
#C
Diamondhead, MS 39525
Phone (228) 255-8526

4507 15th St
Gulfport, MS 39501
Phone (228) 575-1834

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": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1568472595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 GAUSE BLVD",
            "address_2": "320",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582951",
            "telephone_number": "985-641-7577",
            "fax_number": "985-643-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 GAUSE BLVD",
            "address_2": "320",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582951",
            "telephone_number": "985-641-7577",
            "fax_number": "985-643-0826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1839 Cooper Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Picayune",
            "state": "MS",
            "postal_code": "394662835",
            "country_code": "US",
            "telephone_number": "601-651-3500",
            "fax_number": "985-643-0826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "64040 Highway 434 Ste 105",
            "address_purpose": "LOCATION",
            "city": "LaCombe",
            "state": "LA",
            "postal_code": "704453499",
            "country_code": "US",
            "telephone_number": "985-882-3261",
            "fax_number": "985-882-6828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARDIOLOGY INSTITUTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "KAHLED",
        "authorized_official_first_name": "YASSER",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "985-649-1152",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09013682",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942073",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.