Organization Active NPI

Comprehensive Cardiovascular Consultants, Inc.

  • Cardiovascular Disease Physician
  • Saint Louis, MO
National Provider Identifier
1619981685
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
COMPREHENSIVE CARDIOVASCULAR CONSULTANTS, INC.
Practice address
3760 S Lindbergh Blvd Ste 101
Saint Louis, MO 63127-1374
Phone
(314) 849-0923
Fax
(314) 849-5716
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Raffi Krikorian, MDNPI 1710954300
Title
Owner
Phone
(314) 849-0923

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

3760 S Lindbergh Blvd Ste 101
Saint Louis, MO 63127-1374

Mailing address

PO Box 1209
Maryland Heights, MO 63043-0209
Phone (314) 849-0923

Other identifiers 5

IdentifierTypeStateIssuer
409407MedicaidMO
DG2079OtherMORAILROAD
MA1570OtherMOMEDICARE PTAN WESTERN MO IDTF
MA1561OtherMOMEDICARE PTAN EASTERN MO IDTF
IL1797OtherILIL IDTF FOR COLUMBIA & NEW BADEN

Other names 1

  • COMPREHENSIVE CARDIOVASCULAR Consultants, Inc. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071004000476 IL Part B Supplier - Clinic/Group Practice 6608961701 Receives reassigned benefits from 1 practitioner
Practice locations: Glen Carbon, IL
O20071106000730 MO Part B Supplier - Clinic/Group Practice 6608961701 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington, MO; Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

4579 Hunter Ln
Byrnes Mill, MO 63051

715 Maple Valley Dr
Farmington, MO 63640
Phone (573) 756-5298

8793 Watson Rd
Ste B
Saint Louis, MO 63119

3760 S Lindbergh Blvd
Saint Louis, MO 63127

8793 Watson Rd
Saint Louis, MO 63119
Phone (314) 961-9080

Practitioners & affiliated clinicians

Practitioners 2

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": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1619981685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1209",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630430209",
            "telephone_number": "314-849-0923",
            "fax_number": "314-849-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 S LINDBERGH BLVD STE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271374",
            "telephone_number": "314-849-0923",
            "fax_number": "314-849-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CARDIOVASCULAR CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-09-02",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "KRIKORIAN",
        "authorized_official_first_name": "RAFFI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-849-0923",
        "authorized_official_credential": "MD"
    },
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409407",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "DG2079",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN WESTERN MO IDTF",
            "identifier": "MA1570",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN EASTERN MO IDTF",
            "identifier": "MA1561",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL IDTF FOR COLUMBIA & NEW BADEN",
            "identifier": "IL1797",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPREHENSIVE CARDIOVASCULAR Consultants, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.