Organization Active NPI

Compassionate Cardiology PC

  • Specialist
  • Mount Pleasant, MI
National Provider Identifier
1710423918
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5101008190 Issued in MI
Legal business name
COMPASSIONATE CARDIOLOGY PC
Practice address
211 S Crapo St
Ste a
Mount Pleasant, MI 48858-2961
Phone
(989) 953-4188
NPI assigned
Jan 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Authorized official

Name
Cindy Powers
Title
Biller
Phone
(989) 817-3412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 5101008190 MI Primary

Addresses

Primary practice location

211 S Crapo St
Ste a
Mount Pleasant, MI 48858-2961

Mailing address

211 S Crapo St
Ste a
Mount Pleasant, MI 48858-2961
Phone (989) 953-4188

Other identifiers 1

IdentifierTypeStateIssuer
C66266MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170714002120 MI Part B Supplier - Clinic/Group Practice 4486924057 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Pleasant, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1710423918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S CRAPO ST",
            "address_2": "STE A",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582961",
            "telephone_number": "989-953-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S CRAPO ST",
            "address_2": "STE A",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582961",
            "telephone_number": "989-953-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CARDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-04-06",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "989-817-3412"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "5101008190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C66266",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.