Organization Active NPI

South Florida Cardiology Consultants PA

  • Cardiovascular Disease Physician
  • Pembroke Pines, FL
National Provider Identifier
1811225295
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
SOUTH FLORIDA CARDIOLOGY CONSULTANTS PA
Practice address
601 N Flamingo Rd
Suite 403
Pembroke Pines, FL 33028-1015
Phone
(954) 499-9515
Fax
(954) 499-7877
NPI assigned
Nov 24, 2009
Last updated
Aug 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Authorized official

Name
Kayvan Amini, DONPI 1124243563
Title
President
Phone
(954) 499-9515

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 Physician 207RC0000X NU Primary

Addresses

Primary practice location

601 N Flamingo Rd
Suite 403
Pembroke Pines, FL 33028-1015

Mailing address

601 N. Flamingo Rd.
Suite 403
Pembroke Pines, FL 33028-1011
Phone (954) 499-9515

Other identifiers 2

IdentifierTypeStateIssuer
279226500MedicaidFL
DR0872OtherFLMEDICARE RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100430000500 FL Part B Supplier - Clinic/Group Practice 7517095102 Receives reassigned benefits from 3 practitioners
Practice locations: Pembroke Pines, FL

National Provider Directory

National Provider Directory

Locations

601 N Flamingo Rd
Ste 365
Pembroke Pines, FL 33028
Phone (954) 499-9515

703 N Flamingo Rd
#150
Pembroke Pines, FL 33028

703 N Flamingo Rd
Ste 150
Pembroke Pines, FL 33028
Phone (954) 499-9515

Practitioners & affiliated clinicians

Practitioners 3

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": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1811225295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N. FLAMINGO RD.",
            "address_2": "SUITE 403",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281011",
            "telephone_number": "954-499-9515",
            "fax_number": "954-499-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N FLAMINGO RD",
            "address_2": "SUITE 403",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281015",
            "telephone_number": "954-499-9515",
            "fax_number": "954-499-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA CARDIOLOGY CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "AMINI",
        "authorized_official_first_name": "KAYVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-499-9515",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279226500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DR0872",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.