NPIMap

Organization Active NPI

Cardiology of the Florida Keys, LLC

  • Cardiovascular Disease Physician
  • Key West, FL
National Provider Identifier
1710357397
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOLOGY OF THE FLORIDA KEYS, LLC
Practice address
3401 Northside Dr
Key West, FL 33040-4238
Phone
(305) 294-8334
Fax
(305) 294-8339
NPI assigned
Sep 25, 2015
Organization subpart
Yes
Parent organization
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Wayne Chutkan
Title
VP of Finance
Phone
(305) 674-2089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

3401 Northside Dr
Key West, FL 33040-4238

Mailing address

3401 Northside Dr
Key West, FL 33040-4238
Phone (305) 294-8334

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.msmc.com Direct
FHIR URL https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/ Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160128001340 FL Part B Supplier - Clinic/Group Practice 5294038063 Receives reassigned benefits from 7 practitioners
Practice locations: Key West, FL; Marathon, FL

National Provider Directory

National Provider Directory
Part of
Paul a Vignola

Locations

3401 Northside Dr
Key West, FL 33040
Phone (305) 292-9688

Practitioners & affiliated clinicians

Practitioners 7

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": "1443139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1710357397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 NORTHSIDE DR",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404238",
            "telephone_number": "305-294-8334",
            "fax_number": "305-294-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 NORTHSIDE DR",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404238",
            "telephone_number": "305-294-8334",
            "fax_number": "305-294-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY OF THE FLORIDA KEYS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC.",
        "enumeration_date": "2015-09-25",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "CHUTKAN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "305-674-2089"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.msmc.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3401 Northside Dr",
            "city": "Key West",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330404238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "3401 Northside Dr",
            "city": "Key West",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330404238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.