Organization Active NPI

Peak Cardiology, P.a

  • Cardiovascular Disease Physician
  • Apex, NC
National Provider Identifier
1689830671
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
200400448 Issued in NC
Legal business name
PEAK CARDIOLOGY, P.A
Practice address
1051 Pemberton Hill Rd
Suit 202
Apex, NC 27502-4267
Phone
(919) 363-6060
Fax
(919) 363-6040
NPI assigned
Jul 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Dr. Mehar Srivani Reddy AmbatiNPI 1295764355
Title
President
Phone
(919) 363-6060

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 200400448 NC Primary

Addresses

Primary practice location

1051 Pemberton Hill Rd
Suit 202
Apex, NC 27502-4267

Mailing address

PO Box 1810
Apex, NC 27502-2810
Phone (919) 363-6060

Other identifiers 4

IdentifierTypeStateIssuer
141JMOtherNCBCBS
5902911MedicaidNC
0408294OtherNCGHI
207646OtherNCMEDCOST

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080825000300 NC Part B Supplier - Clinic/Group Practice 3274608336 Receives reassigned benefits from 1 practitioner
Practice locations: Fuquay Varina, NC; Apex, NC

National Provider Directory

National Provider Directory

Locations

1051 Pemberton Hill Rd
Ste 202
Apex, NC 27502
Phone (919) 267-1157

1071 Pemberton Hill Rd
Ste 102
Apex, NC 27502
Phone (919) 363-6060

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1689830671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1810",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275022810",
            "telephone_number": "919-363-6060",
            "fax_number": "919-363-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 PEMBERTON HILL RD",
            "address_2": "SUIT 202",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024267",
            "telephone_number": "919-363-6060",
            "fax_number": "919-363-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK CARDIOLOGY, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "AMBATI",
        "authorized_official_first_name": "MEHAR SRIVANI",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-363-6060",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "200400448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "141JM",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902911",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0408294",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "207646",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.