Organization Active NPI

Central Florida Heart Associates PA

  • Cardiovascular Disease Physician
  • Orange City, FL
National Provider Identifier
1861618753
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME046947 Issued in FL
Legal business name
CENTRAL FLORIDA HEART ASSOCIATES PA
Practice address
932 Saxon Blvd
Suite a
Orange City, FL 32763-8313
Phone
(386) 774-2100
Fax
(386) 774-0326
NPI assigned
Apr 18, 2007
Last updated
Aug 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Authorized official

Name
Rajendra Govind Hippalgaonkar, MDNPI 1265519052
Title
President
Phone
(386) 774-2100

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME046947 FL Primary

Addresses

Primary practice location

932 Saxon Blvd
Suite a
Orange City, FL 32763-8313

Mailing address

932 Saxon Blvd
Suite a
Orange City, FL 32763-8313
Phone (386) 774-2100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070728000056 FL Part B Supplier - Clinic/Group Practice 1850492265 Receives reassigned benefits from 4 practitioners
Practice locations: Deltona, FL; Orange City, 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
10D1007226Central Florida Heart Associates PA932 Saxon Blvd, Orange City, FL 32763Certificate of waiverDec 10, 2026

National Provider Directory

National Provider Directory

Locations

1615 Dr Martin Luther King Blvd
Deltona, FL 32725
Phone (386) 204-3911

932 Saxon Blvd
Ste A
Orange City, FL 32763
Phone (386) 774-2100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJIFBA

Practitioners & affiliated clinicians

Practitioners 6

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1861618753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 SAXON BLVD",
            "address_2": "SUITE A",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638313",
            "telephone_number": "386-774-2100",
            "fax_number": "386-774-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 SAXON BLVD",
            "address_2": "SUITE A",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638313",
            "telephone_number": "386-774-2100",
            "fax_number": "386-774-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA HEART ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "HIPPALGAONKAR",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_middle_name": "GOVIND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-774-2100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME046947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.