NPIMap

Organization Active NPI

Cleveland Specialty Group, Inc.

  • Cardiovascular Disease Physician
  • Cleveland, TX
National Provider Identifier
1740796853
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CLEVELAND SPECIALTY GROUP, INC.
Practice address
1017 S Travis Ave
Cleveland, TX 77327-5152
Phone
(281) 592-5411
NPI assigned
Dec 27, 2017
Last updated
Jan 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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

Authorized official

Name
Shanti Bansal, MD
Title
Managing Member
Phone
(281) 592-5411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

1017 S Travis Ave
Cleveland, TX 77327-5152

Mailing address

1017 S Travis Ave
Cleveland, TX 77327-5152
Phone (281) 592-5400

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16739/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1740796853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 S TRAVIS AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773275152",
            "telephone_number": "281-592-5400",
            "fax_number": "281-659-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 S TRAVIS AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773275152",
            "telephone_number": "281-592-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND SPECIALTY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-27",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "SHANTI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "281-592-5411",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.