Organization Active NPI

Cardiac & Vascular Specialists, S.C.

  • Interventional Cardiology Physician
  • Dekalb, IL
National Provider Identifier
1801091947
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
CARDIAC & VASCULAR SPECIALISTS, S.C.
Practice address
626 Bethany Rd
Dekalb, IL 60115-4939
Phone
(815) 748-8320
Fax
(815) 748-8321
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Muhammad K Riaz, M.D.
Title
President
Phone
(847) 931-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

626 Bethany Rd
Dekalb, IL 60115-4939

Mailing address

915 Center St
Suite 2001
Elgin, IL 60120-2106
Phone (847) 931-4200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801091947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 CENTER ST",
            "address_2": "SUITE 2001",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601202106",
            "telephone_number": "847-931-4200",
            "fax_number": "847-931-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 BETHANY RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601154939",
            "telephone_number": "815-748-8320",
            "fax_number": "815-748-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC & VASCULAR SPECIALISTS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIAZ",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-931-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.