NPIMap

Organization Active NPI

Florida Heart Center, PA

  • Cardiovascular Disease Physician
  • Fort Pierce, FL
National Provider Identifier
1760440440
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0072976 Issued in FL
Legal business name
FLORIDA HEART CENTER, PA
Practice address
1900 Nebraska Ave
Suite 9
Fort Pierce, FL 34950-4837
Phone
(772) 465-4757
Fax
(772) 466-0832
NPI assigned
May 3, 2006
Last updated
Mar 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Authorized official

Name
Mr. Prasad Chalasani, MDNPI 1760477269
Title
Physician/Owner
Phone
(772) 465-4499

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU
Cardiovascular Disease Physician 207RC0000X ME0072976 FL Primary

Addresses

Primary practice location

1900 Nebraska Ave
Suite 9
Fort Pierce, FL 34950-4837

Mailing address

1900 Nebraska Ave
Suite 9
Fort Pierce, FL 34950-4837
Phone (772) 465-4499

Other identifiers 1

IdentifierTypeStateIssuer
253894600MedicaidFL

Other names 1

  • Florida Heart Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050614001378 FL Part B Supplier - Clinic/Group Practice 5294779880 Receives reassigned benefits from 19 practitioners
Practice locations: Port St Lucie, FL; Stuart, FL; Port Saint Lucie, FL; Fort Pierce, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1013948Florida Heart Center1900 Nebraska Ave Ste 7, Fort Pierce, FL 34950Certificate of waiverJun 22, 2027

National Provider Directory

National Provider Directory

Locations

1900 Nebraska Ave
Ste 9
Fort Pierce, FL 34950
Phone (561) 465-4499

1801 SE Hillmoor Dr
Ste C-201
Port Saint Lucie, FL 34952
Phone (772) 337-5556

1631 NW Saint Lucie West Blvd
Port St Lucie, FL 34986
Phone (561) 857-7777

Practitioners & affiliated clinicians

Practitioners 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1760440440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 NEBRASKA AVE",
            "address_2": "SUITE 9",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504837",
            "telephone_number": "772-465-4499",
            "fax_number": "772-465-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 NEBRASKA AVE",
            "address_2": "SUITE 9",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504837",
            "telephone_number": "772-465-4757",
            "fax_number": "772-466-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA HEART CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "CHALASANI",
        "authorized_official_first_name": "PRASAD",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "772-465-4499",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0072976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253894600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Heart Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.