NPIMap

Organization Active NPI

Charleston Heart Specialists PLLC

  • Cardiovascular Disease Physician
  • Charleston, WV
National Provider Identifier
1851552335
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
13143 Issued in WV
Legal business name
CHARLESTON HEART SPECIALISTS PLLC
Practice address
2335 Chesterfield Ave
Suite 200
Charleston, WV 25304-1066
Phone
(304) 346-2284
Fax
(304) 345-7745
NPI assigned
Jun 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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

Authorized official

Name
Dilip K Basu, MD
Title
President
Phone
(304) 346-2284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 13143 WV Primary

Addresses

Primary practice location

2335 Chesterfield Ave
Suite 200
Charleston, WV 25304-1066

Mailing address

2335 Chesterfield Ave
Suite 200
Charleston, WV 25304-1066
Phone (304) 346-2284

Other identifiers 4

IdentifierTypeStateIssuer
1033172077OtherNPI NUMBER
0087274000MedicaidWV
0086281000MedicaidWV
1497718803OtherNPI NUMBER

Other names 1

  • Iyer Lee Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1851552335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 CHESTERFIELD AVE",
            "address_2": "SUITE 200",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041066",
            "telephone_number": "304-346-2284",
            "fax_number": "304-345-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 CHESTERFIELD AVE",
            "address_2": "SUITE 200",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041066",
            "telephone_number": "304-346-2284",
            "fax_number": "304-345-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON HEART SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "BASU",
        "authorized_official_first_name": "DILIP",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-346-2284",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WV",
            "license": "13143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1033172077",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087274000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0086281000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1497718803",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iyer Lee",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.