Southpark Heart & Rhythm Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SOUTHPARK HEART & RHYTHM CENTER LLC

Practice address

445 Charles H Dimmock Pkwy Ste 102
Colonial Heights, VA 23834-2990

Phone

(804) 823-2375

Fax

(804) 495-4955

NPI assigned

Jan 7, 2025

Last updated

Jan 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mitesh Amin, MDNPI 1801003157

Title

Ceo

Phone

(804) 400-1322

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710796446. Details of each certification follow.

• CCN 49C0001117 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 49C0001117

Legal name

SOUTHPARK HEART & RHYTHM CENTER LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Sep 29, 2025

Last certification

Aug 27, 2025

Ownership / control type

Proprietary

Facility address

445 Charles H Dimmock Pkwy, Ste 102
Colonial Heights, VA 23834

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Alexander Mathew Strand, CRNA

  • Certified Registered Nurse Anesthetist
  • Richmond, VA
  • NPI 1679053458
  Medicare reassignment NPD
• Angela K Quader, CRNA

  • Certified Registered Nurse Anesthetist
  • Omaha, NE
  • NPI 1760432876

  VA

  Medicare reassignment NPD
• Mitesh S Amin, MD

  • Cardiovascular Disease Physician
  • Colonial Heights, VA
  • NPI 1801003157
  NPD (past) Authorized official

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1710796446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 CHARLES H DIMMOCK PKWY STE 100",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342990",
            "telephone_number": "804-823-2375",
            "fax_number": "804-495-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 CHARLES H DIMMOCK PKWY STE 102",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342990",
            "telephone_number": "804-823-2375",
            "fax_number": "804-495-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHPARK HEART & RHYTHM CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "MITESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-400-1322",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soft Touch Boutique, LTD
• Solomon M Lee DDS PC
• Thomas Edward Sontag, D.C., B.S.
• Vineeta Sood, MD
• Southern Touch Health Care Services, Inc.
• Southpark Vascular Center
• Southside Endodontics, PC
• Southside Family and Cosmetic Dentistry
• Southside Head N Neck Surgery Professional Corp (Southside Ear, Nose & Throat)
• Southside Pediatric Center

• Ambulatory Surgical Clinic/Center in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Ambulatory Surgical Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.