Organization Active NPI

Zenith Heart & Vascular Care PLLC

  • Cardiovascular Disease Physician
  • Memphis, TN
National Provider Identifier
1740939883
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ZENITH HEART & VASCULAR CARE PLLC
Practice address
995 S Yates Rd Ste 2
Memphis, TN 38119-0882
Phone
(901) 979-4140
Fax
(901) 979-8151
NPI assigned
Mar 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Ritin Bomb, MDNPI 1720390578
Title
Sole Member/ Auth Official
Phone
(901) 979-4140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

995 S Yates Rd Ste 2
Memphis, TN 38119-0882

Mailing address

PO Box 691
Paris, TN 38242-0691
Phone (901) 979-4140

Other practice location 1

403 Getwell Dr
Senatobia, MS 38668-2213
Phone (901) 979-4140

Other names 1

  • RK Heart & Vascular Care, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220419000605 MS Part B Supplier - Clinic/Group Practice 3274920434 Receives reassigned benefits from 1 practitioner
Practice locations: Senatobia, MS
O20220504001952 TN Part B Supplier - Clinic/Group Practice 3274920434 Receives reassigned benefits from 1 practitioner
Practice locations: Memphis, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1740939883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382420691",
            "telephone_number": "901-979-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 S YATES RD STE 2",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190882",
            "telephone_number": "901-979-4140",
            "fax_number": "901-979-8151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 Getwell Dr",
            "address_purpose": "LOCATION",
            "city": "Senatobia",
            "state": "MS",
            "postal_code": "386682213",
            "country_code": "US",
            "telephone_number": "901-979-4140",
            "fax_number": "901-979-8151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ZENITH HEART & VASCULAR CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "BOMB",
        "authorized_official_first_name": "RITIN",
        "authorized_official_title_or_position": "SOLE MEMBER/ AUTH OFFICIAL",
        "authorized_official_telephone_number": "901-979-4140",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RK Heart & Vascular Care, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.