Active NPI
Metro Heart & Vascular Institute LTD
- Cardiovascular Disease Physician
- Algonquin, IL
National Provider Identifier
1811327844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036128795
- Legal business name
- METRO HEART & VASCULAR INSTITUTE LTD
- Practice address
- 1479 Commerce Dr
Algonquin, IL 60102-5916 - Phone
- (847) 637-5333
- Fax
- (866) 420-6287
- NPI assigned
- Nov 12, 2013
- Last updated
- Jun 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keri Renwick
- Title
- Practice Manager
- Phone
- (847) 637-5333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036128795 | IL | Primary |
Addresses
Primary practice location
1479 Commerce Dr
Algonquin, IL 60102-5916
Mailing address
1479 Commerce Dr
Algonquin, IL 60102-5916
Phone (847) 637-5333
Other practice location 1
2410 Alft Ln
Ste. 100
Elgin, IL 60124-7843
Phone (847) 637-5333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1345 Ryan Pkwy
Ste 2
Algonquin, IL 60102
Phone (224) 333-0920
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Interventional Cardiology Physician
- Algonquin, IL
- NPI 1043364938
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623888000000",
"number": "1811327844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1479 COMMERCE DR",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601025916",
"telephone_number": "847-637-5333",
"fax_number": "866-420-6287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1479 COMMERCE DR",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601025916",
"telephone_number": "847-637-5333",
"fax_number": "866-420-6287"
}
],
"practiceLocations": [
{
"address_1": "2410 Alft Ln",
"address_2": "Ste. 100",
"address_purpose": "LOCATION",
"city": "Elgin",
"state": "IL",
"postal_code": "601247843",
"country_code": "US",
"telephone_number": "847-637-5333",
"fax_number": "866-420-6287",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "METRO HEART & VASCULAR INSTITUTE LTD",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-12",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A",
"authorized_official_last_name": "RENWICK",
"authorized_official_first_name": "KERI",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "847-637-5333"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036128795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Algonquin, IL
- Heidi Gabriel Mellen, RN
- Karen Mendez-Avila, ATC, ROT
- Vincent Mercado
- Mercy Health System Corporation (Mercy Pediatrics Algonquin)
- Mercy Health System Corporation (Mercy Algonquin Medical Center)
- Elizabeth V. Michael, PH.D.
- Tara Marie Michalowski, M.A.
- Leszek W Michalski, PT
- Mickala Randby, PLLC
- Midwest Cygnetazure, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.