Active NPI
Heart and Vascular Associates of Tampa LLC
- Urgent Care Clinic/Center
- Tampa, FL
National Provider Identifier
1629699889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- HEART AND VASCULAR ASSOCIATES OF TAMPA LLC
- Practice address
- 2715 N Macdill Ave
Tampa, FL 33607-2205 - Phone
- (813) 280-0202
- Fax
- (813) 280-0203
- NPI assigned
- Apr 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Talal Hamdan, MD
- Title
- Owner
- Phone
- (813) 280-0202
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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | |||
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | |||
| Interventional Cardiology Physician | 207RI0011X | |||
| Nuclear Cardiology Physician | 207UN0901X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
2715 N Macdill Ave
Tampa, FL 33607-2205
Mailing address
2715 N Macdill Ave
Tampa, FL 33607-2205
Phone (813) 280-0202
Other names 1
- Comprehensive Cardiovascular Promt Care, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151103002906 | FL | Part B Supplier - Clinic/Group Practice | 1456661479 |
Receives reassigned benefits from 3 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Tampa, FL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Cardiovascular Disease Physician
- Tampa, FL
- NPI 1154701365
O20151103002906
National Provider Directory
National Provider Directory- Tax ID family
- Comprehensive Cardiovascular Promt Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Cardiovascular Disease Physician
- Tampa, FL
- NPI 1154701365
Locations
1881 W Kennedy Blvd
Tampa, FL 33606
Phone (813) 513-3030
17 Davis Blvd
Ste 313
Tampa, FL 33606
Phone (813) 280-0202
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Riverview, FL
- NPI 1114770849
-
- Nurse Practitioner
- Tampa, FL
- NPI 1598502981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718323200000",
"number": "1629699889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2715 N MACDILL AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336072205",
"telephone_number": "813-280-0202",
"fax_number": "813-280-0203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2715 N MACDILL AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336072205",
"telephone_number": "813-280-0202",
"fax_number": "813-280-0203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART AND VASCULAR ASSOCIATES OF TAMPA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-29",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A",
"authorized_official_last_name": "HAMDAN",
"authorized_official_first_name": "TALAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-280-0202",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Comprehensive Cardiovascular Promt Care, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.