Cardio Diagnostic Systems, S.C.

Primary specialty

Cardiovascular Specialist/TechnologistTaxonomy code 246X00000X

Legal business name

CARDIO DIAGNOSTIC SYSTEMS, S.C.

Practice address

10035 Lincoln TRL
Fairview Heights, IL 62208-1847

Phone

(618) 397-7300

Fax

(618) 397-7735

NPI assigned

Nov 9, 2006

Last updated

Jul 21, 2022By 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

Pankaj S Shah, MDNPI 1629024815

Title

President

Phone

(618) 397-7300

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Pankaj S Shah, M.D.

  • Specialist
  • Fairview Heights, IL
  • NPI 1629024815
  Authorized official Same address or phone

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1720158264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10035 LINCOLN TRL",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081847",
            "telephone_number": "618-397-7300",
            "fax_number": "618-397-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10035 LINCOLN TRL",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081847",
            "telephone_number": "618-397-7300",
            "fax_number": "618-397-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIO DIAGNOSTIC SYSTEMS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-397-7300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "246X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebonie Monique Byrd
• Ca Group, LLC
• Bianca L Calloway
• Alexis Camp, MA
• Cardio Diagnostic Systems, S.C.
• Caretenders Visiting Services of Southern Illinois, LLC (Mederi Caretenders)
• Chester A Carothers Jr., L.C.S.W.
• Ciara Nicole Carter
• Madison L Castillo
• Center for Advanced Medicine LLC (Performance Medical Clinic LLC)

• Cardiovascular Specialist/Technologist in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Cardiovascular Specialist/Technologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.