NPIMap

Organization Active NPI

Preventive Cardiovascular Institute PLLC

  • Cardiovascular Disease Physician
  • Saint Clair Shores, MI
National Provider Identifier
1699795435
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
PREVENTIVE CARDIOVASCULAR INSTITUTE PLLC
Practice address
25631 Little Mack
Suite 201
St. Clair Shores, MI 48081-2108
Phone
(586) 443-2930
Fax
(586) 443-2958
NPI assigned
Jul 21, 2006
Last updated
Oct 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Authorized official

Name
Dr. Victor Abiragi, MDNPI 1447254248
Title
President/Ceo
Phone
(586) 776-8877

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 Physician 207RC0000X NU Primary

Addresses

Primary practice location

25631 Little Mack
Suite 201
St. Clair Shores, MI 48081-2108

Mailing address

25631 Little Mack
Suite 201
St. Clair Shores, MI 48081-2108
Phone (586) 443-2930

Other identifiers 1

IdentifierTypeStateIssuer
0E01170OtherMIBCBS OF MICHIGAN GRP NUMB

National Provider Directory

National Provider Directory

Locations

18303 E 10 Mile Rd
Ste 100
Roseville, MI 48066
Phone (586) 776-8877

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1699795435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25631 LITTLE MACK",
            "address_2": "SUITE 201",
            "city": "ST. CLAIR SHORES",
            "state": "MI",
            "postal_code": "480812108",
            "telephone_number": "586-443-2930",
            "fax_number": "586-443-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25631 LITTLE MACK",
            "address_2": "SUITE 201",
            "city": "ST. CLAIR SHORES",
            "state": "MI",
            "postal_code": "480812108",
            "telephone_number": "586-443-2930",
            "fax_number": "586-443-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE CARDIOVASCULAR INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "ABIRAGI",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "586-776-8877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN GRP NUMB",
            "identifier": "0E01170",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.