Springfield Heart Surgeons LLC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

SPRINGFIELD HEART SURGEONS LLC

Practice address

1671 N Limestone St
Springfield, OH 45503-2646

Phone

(937) 324-5511

Fax

(937) 398-0652

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Surender R Neravetla, MDNPI 1801843602

Title

MD / Owner

Phone

(937) 215-9076

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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.

• Surender R Neravetla, MD

  • Vascular Surgery Physician
  • Springfield, OH
  • NPI 1801843602
  Medicare reassignment NPD Authorized official
• Amit Arora, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Springfield, OH
  • NPI 1619143799
  Medicare reassignment NPD
• Soumya Neravetla, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Round Rock, TX
  • NPI 1558511865

  OH

  Medicare reassignment NPD
• Caitlin Kyle, PA-C

  • Physician Assistant
  • Columbus, OH
  • NPI 1649654468
  Medicare reassignment

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1659328466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 N LIMESTONE ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032646",
            "telephone_number": "937-324-5511",
            "fax_number": "937-398-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 N LIMESTONE ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032646",
            "telephone_number": "937-324-5511",
            "fax_number": "937-398-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD HEART SURGEONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "NERAVETLA",
        "authorized_official_first_name": "SURENDER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MD / OWNER",
        "authorized_official_telephone_number": "937-215-9076",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2642868",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Springfield Health Care Operating Company, LLC
• Springfield Healthcare Center Inc
• Springfield Healthcare Group Inc
• Springfield Healthcare Group Inc
• Springfield Healthcare LLC
• Springfield Hematology and Oncology Associates, Inc
• Springfield Infectious Diseases LLC
• Springfield Masonic Community
• Springfield Metropolitan Housing Authority
• Springfield Opco, LLC

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Springfield, OH
• Providers in Springfield, OH by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.