Organization Active NPI

Cardiovascular Association, P.L.L.C

Doing business as Vital Heart and Vein

  • Cardiovascular Disease Physician
  • Humble, TX
National Provider Identifier
1750476230
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOVASCULAR ASSOCIATION, P.L.L.C
Doing business as
Vital Heart and Vein
Practice address
18450 Highway 59 N
Humble, TX 77338-4404
Phone
(281) 446-6656
Fax
(281) 446-6657
NPI assigned
Oct 3, 2006
Last updated
Apr 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Maribel Leos
Title
Credentialing Manager
Phone
(281) 572-0224

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X
Cardiovascular Disease Physician 207RC0000X Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X
Interventional Cardiology Physician 207RI0011X
Vascular Surgery Physician 2086S0129X
Foot & Ankle Surgery Podiatrist 213ES0103X

Addresses

Primary practice location

18450 Highway 59 N
Humble, TX 77338-4404

Mailing address

18450 Highway 59 N
Humble, TX 77338
Phone (281) 446-6656

Other practice location 1

10930 Resource Pkwy Ste A
Houston, TX 77089-6157
Phone (281) 661-5767

Other practice location 2

15200 Southwest Fwy Ste 270
Sugar Land, TX 77478-3863
Phone (281) 661-2447

Other practice location 3

10907 Memorial Hermann Dr Ste 370
Pearland, TX 77584-4115
Phone (281) 741-0280

Other practice location 4

1213 Hermann Dr Ste 720
Houston, TX 77004-7013
Phone (713) 796-9696

Other practice location 5

800 Peakwood Dr Ste 2E
Houston, TX 77090-2913
Phone (281) 572-0248

Other practice location 6

12121 Richmond Ave Ste 314
Houston, TX 77082-2437
Phone (281) 531-8013

Other practice location 7

16902 Southwest Fwy Ste 100
Sugar Land, TX 77479-3574
Phone (281) 446-6656

Other practice location 8

2501 Jimmy Johnson Blvd Ste 401
Port Arthur, TX 77640-2013
Phone (281) 446-6656

Other practice location 9

2708 Jefferson Dr
Liberty, TX 77575-1037
Phone (281) 446-6656

Other practice location 10

1631 North Loop W Ste 480
Houston, TX 77008-1548
Phone (281) 446-6656

Other practice location 11

500 Medical Center Blvd Ste 235
Conroe, TX 77304-2800
Phone (281) 446-6656

Other practice location 12

213 S College Ave Ste A
Cleveland, TX 77327-4503
Phone (281) 446-6656

Other practice location 13

400 W Medical Center Blvd Ste 250
Webster, TX 77598-4403
Phone (281) 446-6656

Other practice location 14

15055 East Fwy Ste B60
Channelview, TX 77530-4192
Phone (281) 446-6656

Other practice location 15

810 Hospital Dr Ste 340
Beaumont, TX 77701-4655
Phone (281) 446-6656

Other practice location 16

16700 House Hahl Rd Bldg 8A
Cypress, TX 77433-6349
Phone (281) 446-6656

Other identifiers 3

IdentifierTypeStateIssuer
0007CVOtherTXBCBS
1750476230MedicaidTX
CN9534OtherTXRAILROAD MEDICARE-PALMETT

Other names 1

  • Vital Heart and Vein Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040317000182 TX Part B Supplier - Clinic/Group Practice 5294625042 Receives reassigned benefits from 56 practitioners
1 other NPI on this enrollment
Practice locations: Livingston, TX; Sugar Land, TX; Pearland, TX; Liberty, TX; Kingwood, TX; Humble, TX; Houston, TX; Beaumont, TX…
O20210201001347 TX DME Supplier - Physician - Podiatry 5294625042 Practice locations: Humble, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

200 E Boothe St
Bldg 220
Cleveland, TX 77327
Phone (281) 432-0032

213 S College Ave
Ste A
Cleveland, TX 77327
Phone (281) 973-4159

18955 N Memorial Dr
Ste 210
Humble, TX 77338

2708 Jefferson Dr
Liberty, TX 77575
Phone (936) 334-8800

300 Bypass Ln
Ste 200
Livingston, TX 77352
Phone (936) 327-3843

10907 Memorial Hermann Dr
Ste 370
Pearland, TX 77584
Phone (281) 741-0280

16902 Southwest Fwy
Ste 100
Sugar Land, TX 77479
Phone (281) 565-2800

400 W Medical Center Blvd
Ste 250
Webster, TX 77598
Phone (713) 335-3600

Practitioners & affiliated clinicians

Practitioners 67

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.

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1750476230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18450 HIGHWAY 59 N",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "77338",
            "telephone_number": "281-446-6656",
            "fax_number": "281-446-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18450 HIGHWAY 59 N",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384404",
            "telephone_number": "281-446-6656",
            "fax_number": "281-446-6657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10930 Resource Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770896157",
            "country_code": "US",
            "telephone_number": "281-661-5767",
            "fax_number": "281-676-3618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15200 Southwest Fwy Ste 270",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774783863",
            "country_code": "US",
            "telephone_number": "281-661-2447",
            "fax_number": "281-676-5626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10907 Memorial Hermann Dr Ste 370",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775844115",
            "country_code": "US",
            "telephone_number": "281-741-0280",
            "fax_number": "832-486-9953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1213 Hermann Dr Ste 720",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770047013",
            "country_code": "US",
            "telephone_number": "713-796-9696",
            "fax_number": "713-796-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Peakwood Dr Ste 2E",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770902913",
            "country_code": "US",
            "telephone_number": "281-572-0248",
            "fax_number": "281-446-6657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12121 Richmond Ave Ste 314",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770822437",
            "country_code": "US",
            "telephone_number": "281-531-8013",
            "fax_number": "281-929-0276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16902 Southwest Fwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774793574",
            "country_code": "US",
            "telephone_number": "281-446-6656",
            "fax_number": "281-446-6657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Jimmy Johnson Blvd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Port Arthur",
            "state": "TX",
            "postal_code": "776402013",
            "country_code": "US",
            "telephone_number": "281-446-6656",
            "fax_number": "281-446-6657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2708 Jefferson Dr",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "TX",
            "postal_code": "775751037",
            "country_code": "US",
            "telephone_number": "281-446-6656",
            "fax_number": "281-446-6657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1631 North Loop W Ste 480",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770081548",
            "country_code": "US",
            "telephone_number": "281-446-6656",
            "fax_number": "281-446-6657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Medical Center Blvd Ste 235",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773042800",
            "country_code": "US",
            "telephone_number": "281-446-6656",
            "fax_number": "281-446-6657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "213 S College Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TX",
            "postal_code": "773274503",
            "country_code": "US",
            "telephone_number": "281-446-6656",
            "fax_number": "281-446-6657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W Medical Center Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984403",
            "country_code": "US",
            "telephone_number": "281-446-6656",
            "fax_number": "281-446-6657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15055 East Fwy Ste B60",
            "address_purpose": "LOCATION",
            "city": "Channelview",
            "state": "TX",
            "postal_code": "775304192",
            "country_code": "US",
            "telephone_number": "281-446-6656",
            "fax_number": "281-446-6657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "810 Hospital Dr Ste 340",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777014655",
            "country_code": "US",
            "telephone_number": "281-446-6656",
            "fax_number": "281-446-6657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16700 House Hahl Rd Bldg 8A",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774336349",
            "country_code": "US",
            "telephone_number": "281-446-6656",
            "fax_number": "281-446-6657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARDIOVASCULAR ASSOCIATION, P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "LEOS",
        "authorized_official_first_name": "MARIBEL",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "281-572-0224"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0007CV",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750476230",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE-PALMETT",
            "identifier": "CN9534",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Heart and Vein",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vital Heart and Vein",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.