Organization Active NPI

Clearwater Cardiovascular and Interventional Consultants MD PA

  • Cardiovascular Disease Physician
  • Clearwater, FL
National Provider Identifier
1659396133
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CLEARWATER CARDIOVASCULAR AND INTERVENTIONAL CONSULTANTS MD PA
Practice address
455 Pinellas Street
Suite 400
Clearwater, FL 33756-3356
Phone
(727) 445-1911
Fax
(727) 445-1986
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Mr. Kevin B Mair
Title
Chief Executive Officer
Phone
(727) 445-1992

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC3500X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Clinical Cardiac Electrophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0001X
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X
Nuclear Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207UN0901X
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
Clinical Neurophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0600X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X

Addresses

Primary practice location

455 Pinellas Street
Suite 400
Clearwater, FL 33756-3356

Mailing address

455 Pinellas St Ste 400
Clearwater, FL 33756-3356
Phone (727) 445-1992

Other practice location 1

5851 Timuquana Rd Ste 204
Jacksonville, FL 32210-7898
Phone (904) 493-3333

Other practice location 2

1840 Mease Dr Ste 202
Safety Harbor, FL 34695-6604
Phone (727) 725-6246

Other practice location 3

205 Zeagler Dr Ste 101
Palatka, FL 32177-3860
Phone (386) 325-2836

Other practice location 4

1681 Eagle Harbor Pkwy Ste B
Fleming Island, FL 32003-4819
Phone (904) 644-0092

Other practice location 5

3627 University Blvd S Ste 435
Jacksonville, FL 32216-4238
Phone (904) 724-5000

Other practice location 6

501 Riverside Dr
Waycross, GA 31501-5316
Phone (904) 493-3333

Other practice location 7

905 Beach Blvd
Jacksonville, FL 32250-4303
Phone (904) 493-3333

Other practice location 8

7011 A C Skinner Pkwy Ste 160
Jacksonville, FL 32256-6953
Phone (904) 493-3333

Other practice location 9

115 Bartram Oaks Walk
Saint Johns, FL 32259-3243
Phone (904) 493-3333

Other practice location 10

3633 Little Rd Ste 102
Trinity, FL 34655-1815
Phone (727) 372-5952

Other practice location 11

8839 Bryan Dairy Rd Ste 300
Largo, FL 33777-1207
Phone (727) 394-1911

Other practice location 12

3890 Dunn Ave Ste 203
Jacksonville, FL 32218-6428
Phone (904) 493-3333

Other identifiers 2

IdentifierTypeStateIssuer
119872600MedicaidFL
119872601MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050120000848 FL Part B Supplier - Clinic/Group Practice 9436108099 Receives reassigned benefits from 47 practitioners
Practice locations: Clearwater, FL; Largo, FL
O20241111000872 FL Part B Supplier - Intensive Cardiac Rehabilitation 9436108099 Receives reassigned benefits from 1 practitioner
Practice locations: Clearwater, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0965058Clearwater Cardiovascular and Interventional455 Pinellas St Ste 400, Clearwater, FL 33756Certificate of waiverSep 8, 2027

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

291 Del Amo Fashion Sq
Unit 13123
Torrance, CA 90503

455 Pinellas St
Ste 280
Clearwater, FL 33756
Phone (727) 445-1911

455 Pinellas St
Ste 455
Clearwater, FL 33756

455 Pinellas St
Ste 400
Clearwater, FL 33756
Phone (727) 445-1911

455 Pinellas St
Ste 410
Clearwater, FL 33756

455 Pinellas St
Ste 260
Clearwater, FL 33756
Phone (727) 449-9891

1022 Main St
Ste M
Dunedin, FL 34698
Phone (727) 210-2225

7011 A C Skinner Pkwy
Ste 1690
Jacksonville, FL 32256

7001 A C Skinner Pkwy Ste 160
Jacksonville, FL 32256

5851 Timuquana Rd
Ste 204
Jacksonville, FL 32210

8839 Bryan Dairy Rd
Ste 300
Largo, FL 33777
Phone (727) 394-1911

1681 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 644-0092

205 Zeagler Dr
Palatka, FL 32177
Phone (386) 325-2836

30522 US Highway 19 N
Ste 300
Palm Harbor, FL 34684
Phone (727) 445-1992

115 Bartram Oaks Walk
St Johns, FL 32259
Phone (904) 217-3107

Practitioners & affiliated clinicians

Practitioners 101

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

View all 101

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1659396133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PINELLAS ST STE 400",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563356",
            "telephone_number": "727-445-1992",
            "fax_number": "727-445-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 PINELLAS STREET",
            "address_2": "SUITE 400",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563356",
            "telephone_number": "727-445-1911",
            "fax_number": "727-445-1986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5851 Timuquana Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322107898",
            "country_code": "US",
            "telephone_number": "904-493-3333",
            "fax_number": "904-493-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1840 Mease Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Safety Harbor",
            "state": "FL",
            "postal_code": "346956604",
            "country_code": "US",
            "telephone_number": "727-725-6246",
            "fax_number": "727-726-5865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Zeagler Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Palatka",
            "state": "FL",
            "postal_code": "321773860",
            "country_code": "US",
            "telephone_number": "386-325-2836",
            "fax_number": "386-325-2736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1681 Eagle Harbor Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Fleming Island",
            "state": "FL",
            "postal_code": "320034819",
            "country_code": "US",
            "telephone_number": "904-644-0092",
            "fax_number": "904-644-0099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3627 University Blvd S Ste 435",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322164238",
            "country_code": "US",
            "telephone_number": "904-724-5000",
            "fax_number": "904-677-4498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315015316",
            "country_code": "US",
            "telephone_number": "904-493-3333",
            "fax_number": "904-493-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "905 Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322504303",
            "country_code": "US",
            "telephone_number": "904-493-3333",
            "fax_number": "904-493-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7011 A C Skinner Pkwy Ste 160",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322566953",
            "country_code": "US",
            "telephone_number": "904-493-3333",
            "fax_number": "904-493-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Bartram Oaks Walk",
            "address_purpose": "LOCATION",
            "city": "Saint Johns",
            "state": "FL",
            "postal_code": "322593243",
            "country_code": "US",
            "telephone_number": "904-493-3333",
            "fax_number": "904-493-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3633 Little Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346551815",
            "country_code": "US",
            "telephone_number": "727-372-5952",
            "fax_number": "727-863-1787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8839 Bryan Dairy Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337771207",
            "country_code": "US",
            "telephone_number": "727-394-1911",
            "fax_number": "727-394-1986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3890 Dunn Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322186428",
            "country_code": "US",
            "telephone_number": "904-493-3333",
            "fax_number": "904-493-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLEARWATER CARDIOVASCULAR AND INTERVENTIONAL CONSULTANTS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "MAIR",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "727-445-1992",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WC3500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "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": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "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": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119872600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119872601",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.