NPIMap

Organization Active NPI

Valley Cardiovascular Consultants, Inc.

  • Cardiovascular Disease Physician
  • Winchester, VA
National Provider Identifier
1578700423
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101050179 Issued in VA
Legal business name
VALLEY CARDIOVASCULAR CONSULTANTS, INC.
Practice address
817 Cedar Creek Grade
Suite 100
Winchester, VA 22601-2706
Phone
(540) 662-8224
Fax
(540) 662-8230
NPI assigned
Jan 14, 2009
Last updated
Aug 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Juan M Pittaluga, M.D.NPI 1841279916
Title
Owner
Phone
(540) 662-8224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101050179 VA Primary

Addresses

Primary practice location

817 Cedar Creek Grade
Suite 100
Winchester, VA 22601-2706

Mailing address

817 Cedar Creek Grade
Suite 100
Winchester, VA 22601-2706
Phone (540) 662-8224

Other identifiers 4

IdentifierTypeStateIssuer
DP6610OtherVAMEDICARE RR
3810014166MedicaidWV
1578700423MedicaidVA
613950700OtherVADOL

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": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1578700423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 CEDAR CREEK GRADE",
            "address_2": "SUITE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012706",
            "telephone_number": "540-662-8224",
            "fax_number": "540-662-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 CEDAR CREEK GRADE",
            "address_2": "SUITE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012706",
            "telephone_number": "540-662-8224",
            "fax_number": "540-662-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CARDIOVASCULAR CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "PITTALUGA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-662-8224",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101050179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DP6610",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810014166",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578700423",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "613950700",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.