Individual provider Active NPI

Vasco Miguel Marques, MD

  • Interventional Cardiology Physician
  • Tampa, FL
National Provider Identifier
1588730113
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME80196 Issued in FL
Practice address
3010 E 138TH Ave
Suite #12
Tampa, FL 33613-3904
Phone
(813) 975-2800
Fax
(813) 977-7631
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME80196 FL Primary
Cardiovascular Disease Physician 207RC0000X ME80196 FL

Addresses

Primary practice location

3010 E 138TH Ave
Suite #12
Tampa, FL 33613-3904

Mailing address

3010 E 138TH Ave
Suite 12
Tampa, FL 33613-3904
Phone (813) 975-2800

Other identifiers 1

IdentifierTypeStateIssuer
258957500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070716000426 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 4789612375 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME80196FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Cardiovascular Co-Management Associates, LLC Cardiovascular Disease CurrentSince Apr 1, 2017 Accepting new patients
Florida Medical Clinic, LLC Past Accepting new patients
Tower Imaging LLC Past Accepting new patients

Locations

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

Interoperability endpoints

  • Direct secure messaging: vasco.marques@tcavm.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1588730113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 E 138TH AVE",
            "address_2": "SUITE 12",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133904",
            "telephone_number": "813-975-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 E 138TH AVE",
            "address_2": "SUITE #12",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133904",
            "telephone_number": "813-975-2800",
            "fax_number": "813-977-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUES",
        "first_name": "VASCO",
        "middle_name": "MIGUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME80196",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME80196",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258957500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.