Organization Active NPI

Hanover Cardiac ASC LLC

Doing business as Virginia Cardiac Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Mechanicsville, VA
National Provider Identifier
1689438053
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
HANOVER CARDIAC ASC LLC
Doing business as
Virginia Cardiac Surgery Center
Practice address
8160 Pleasant Grove Road
Suite 100
Mechanicsville, VA 23116
Phone
(804) 665-0770
NPI assigned
Feb 7, 2024
Last updated
Jul 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Dr. Pindipapanahalli V Ravindra, MDNPI 1235116377
Title
Chairman
Phone
(804) 800-6600

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

8160 Pleasant Grove Road
Suite 100
Mechanicsville, VA 23116

Mailing address

8160 Pleasant Grove Road
Suite 100
Mechanicsville, VA 23116-2329
Phone (804) 665-0770

Other names 1

  • Virginia Cardiac Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240510001077 VA Part B Supplier - Ambulatory Surgical Center 2264873058 Practice locations: Mechanicsville, VA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Hanover Cardiac ASC LLC Dba Virginia Cardiac Surgery CenterCCN 49C0001109
Medicare certification status
ActiveFrom the Provider of Services file

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
49D0990565Hanover Cardiac ASC LLC Dba Virginia Cardiac8160 Pleasant Grove Road, Suite 100, Mechanicsville, VA 23116ComplianceMar 12, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1689438053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8160 PLEASANT GROVE ROAD",
            "address_2": "SUITE 100",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162329",
            "telephone_number": "804-665-0770",
            "fax_number": "833-450-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 PLEASANT GROVE ROAD",
            "address_2": "SUITE 100",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "23116",
            "telephone_number": "804-665-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER CARDIAC ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "RAVINDRA",
        "authorized_official_first_name": "PINDIPAPANAHALLI",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "804-800-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Cardiac Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Virginia Cardiac Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.