Active NPI
Clearwater Cardiovascular and Interventional Consultants MD PA
- Cardiovascular Disease Physician
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiac Rehabilitation Registered Nurse | 163WC3500X | |||
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | |||
| Interventional Cardiology Physician | 207RI0011X | |||
| Nephrology Physician | 207RN0300X | |||
| Pulmonary Disease Physician | 207RP1001X | |||
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | |||
| Nuclear Cardiology Physician | 207UN0901X | |||
| Neurology Physician | 2084N0400X | |||
| Clinical Neurophysiology Physician | 2084N0600X | |||
| Surgery Physician | 208600000X | |||
| Hospitalist Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119872600 | Medicaid | FL | |
| 119872601 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0965058 | Clearwater Cardiovascular and Interventional | Certificate of waiver | Sep 8, 2027 |
National Provider Directory
National Provider DirectoryMember organizations 2
Organizations listed as members of this organization in the National Provider Directory.
-
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1841307857
Member Of
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.
-
- Clinical Cardiac Electrophysiology Physician
- Tampa, FL
- NPI 1659790004
FL, Multi-Specialty
-
- Cardiovascular Disease Physician
- Clearwater, FL
- NPI 1619026770
Cardiac Rehabilitation, FL
-
- Interventional Cardiology Physician
- Clearwater, FL
- NPI 1477988897
FL, Interventional Cardiology
-
- Cardiovascular Disease Physician
- Clearwater, FL
- NPI 1487181038
Cardiovascular Disease, FL
-
- Cardiovascular Disease Physician
- Safety Harbor, FL
- NPI 1235372368
Cardiovascular Disease, FL
-
- Interventional Cardiology Physician
- Safety Harbor, FL
- NPI 1285623868
FL, Interventional Cardiology
-
- Clinical Cardiac Electrophysiology Physician
- Clearwater, FL
- NPI 1154571560
FL, Single Specialty
-
- Cardiovascular Disease Physician
- Safety Harbor, FL
- NPI 1962461731
Cardiovascular Disease, FL
-
- Clinical Cardiac Electrophysiology Physician
- Clearwater, FL
- NPI 1457332553
Cardiovascular Disease, FL
-
- Cardiovascular Disease Physician
- Clearwater, FL
- NPI 1811341746
Cardiovascular Disease, FL
-
- Cardiovascular Disease Physician
- Safety Harbor, FL
- NPI 1194714758
Cardiovascular Disease, FL
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": []
}
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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.