Organization Active NPI

Cocoa Cardiology Consultant, LLC

  • Cardiovascular Disease Physician
  • Rockledge, FL
National Provider Identifier
1871387027
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
COCOA CARDIOLOGY CONSULTANT, LLC
Practice address
3712 Whimsical Cir
Rockledge, FL 32955-4576
Phone
(321) 537-6506
NPI assigned
Apr 4, 2025
Last updated
Apr 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Ravindran B Palaniyandi, MDNPI 1942225883
Title
Owner
Phone
(321) 537-6506

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 Primary

Addresses

Primary practice location

3712 Whimsical Cir
Rockledge, FL 32955-4576

Mailing address

3712 Whimsical Cir
Rockledge, FL 32955-4576
Phone (321) 537-6506

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250603001263 FL Part B Supplier - Clinic/Group Practice 5597274431 Receives reassigned benefits from 1 practitioner
Practice locations: Rockledge, FL

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1871387027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 WHIMSICAL CIR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554576",
            "telephone_number": "321-537-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 WHIMSICAL CIR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554576",
            "telephone_number": "321-537-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCOA CARDIOLOGY CONSULTANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "PALANIYANDI",
        "authorized_official_first_name": "RAVINDRAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-537-6506",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.