Organization Active NPI

Cardiac Care Specialists of Dublin

  • Cardiovascular Disease Physician
  • Dublin, GA
National Provider Identifier
1619703667
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIAC CARE SPECIALISTS OF DUBLIN
Practice address
202 Fairview Park Dr Ste 200
Dublin, GA 31021-2547
Phone
(478) 246-2264
NPI assigned
Sep 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Surender MalhotraNPI 1780772731
Title
MD
Phone
(478) 246-2264

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X

Addresses

Primary practice location

202 Fairview Park Dr Ste 200
Dublin, GA 31021-2547

Mailing address

202 Fairview Park Dr Ste 200
Dublin, GA 31021-2547
Phone (478) 246-2264

Other practice location 1

205 Fairview Park Dr
Dublin, GA 31021-2550
Phone (478) 246-2264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241122001453 GA Part B Supplier - Clinic/Group Practice 2961937214 Receives reassigned benefits from 3 practitioners
Practice locations: Dublin, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1619703667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 FAIRVIEW PARK DR STE 200",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212547",
            "telephone_number": "478-246-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 FAIRVIEW PARK DR STE 200",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212547",
            "telephone_number": "478-246-2264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Fairview Park Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "GA",
            "postal_code": "310212550",
            "country_code": "US",
            "telephone_number": "478-246-2264",
            "fax_number": "478-277-2996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARDIAC CARE SPECIALISTS OF DUBLIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "MALHOTRA",
        "authorized_official_first_name": "SURENDER",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "478-246-2264"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.