Elite Cardiovascular Group PLLC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

ELITE CARDIOVASCULAR GROUP PLLC

Practice address

925 York Dr
Desoto, TX 75115-2043

Phone

(972) 572-1600

NPI assigned

Nov 16, 2021

Last updated

Aug 2, 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

Nikhil Nalluri, MDNPI 1518245935

Title

Physician Owner

Phone

(205) 880-7575

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AJIGCD

Practitioners 4

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.

• Nikhil Nalluri, M.D

  • Interventional Cardiology Physician
  • Desoto, TX
  • NPI 1518245935

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD Authorized official
• Deepak Asti, M.D

  • Interventional Cardiology Physician
  • Desoto, TX
  • NPI 1154633600

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Gayoun Hong, FNP-BC, APRN

  • Family Nurse Practitioner
  • Desoto, TX
  • NPI 1952194474
  Medicare reassignment Care Compare group NPD
• Vishu Lammata, M.D.

  • Cardiovascular Disease Physician
  • Desoto, TX
  • NPI 1811181134
  Medicare reassignment NPD

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1609532365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 SHANNON OXMOOR RD # 270",
            "city": "SHANNON",
            "state": "AL",
            "postal_code": "351422000",
            "telephone_number": "205-880-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 YORK DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152043",
            "telephone_number": "972-572-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARDIOVASCULAR GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "NALLURI",
        "authorized_official_first_name": "NIKHIL",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "205-880-7575",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edid Ramos, MD, PA
• Gabrielle Elvessie Edwards
• Uruemuesiri Amanda Efevberha
• Eight Healthcare
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• Elite Homecare, LLC
• Elite NP Clinic PLLC
• Elite Wellness Clinic PLLC
• Elite Women's Wellness LLC
• Elizabeth D.Ebolum (Assured Medical Equipment & Supplies)

• Interventional Cardiology Physician in Desoto, TX
• Providers in Desoto, TX by specialty
• Interventional Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.