Consultants in Cardiovascular Medicine and Science-Fort Worth

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CONSULTANTS IN CARDIOVASCULAR MEDICINE AND SCIENCE-FORT WORTH

Practice address

1121 5TH Ave Ste 100
Fort Worth, TX 76104-4386

Phone

(817) 423-8585

Fax

(817) 423-8458

NPI assigned

Nov 18, 2020

Last updated

Nov 18, 2020By 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

Mohanarkrishnan Sathyamoorthy, MD

Title

Owner

Phone

(817) 423-8585

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Amy Elizabeth Blancke, AGACNP

  • Nurse Practitioner
  • Fort Worth, TX
  • NPI 1538729421
  Medicare reassignment Care Compare group NPD
• Mohanakrishnan Sathyamoorthy, M.D.

  • Cardiovascular Disease Physician
  • Fort Worth, TX
  • NPI 1134233588
  Medicare reassignment Care Compare group NPD
• Grace Victoria Spinks, PA-C

  • Physician Assistant
  • Fort Worth, TX
  • NPI 1942766035
  Medicare reassignment Care Compare group NPD
• Taylor Kelly Moore

  • Physician Assistant
  • Fort Worth, TX
  • NPI 1720768534
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1649873928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 5TH AVE STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044386",
            "telephone_number": "817-423-8585",
            "fax_number": "817-423-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 5TH AVE STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044386",
            "telephone_number": "817-423-8585",
            "fax_number": "817-423-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTANTS IN CARDIOVASCULAR MEDICINE AND SCIENCE-FORT WORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "SATHYAMOORTHY",
        "authorized_official_first_name": "MOHANARKRISHNAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-423-8585",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drmoheart@outlook.com",
            "affiliation": "N",
            "address_1": "1121 5th Ave Ste 100",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761044386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Jennifer Marie Contreras
• Linda Camille Contreras
• Ricardo Elias Contreras, M.A., LPC

• Cardiovascular Disease Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.