Active NPI
Cardiac & Vascular Physicians
- Specialist
- Indianapolis, IN
National Provider Identifier
1881756336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 207RC0000X
- Legal business name
- CARDIAC & VASCULAR PHYSICIANS
- Practice address
- 11530 E Washington St
Indianapolis, IN 46229-2828 - Phone
- (317) 859-3095
- Fax
- (317) 859-3098
- NPI assigned
- Dec 14, 2006
- Last updated
- Aug 22, 2020
- 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
- Dr. Elmer Pante Manalo, M.D.
- Title
- President
- Phone
- (317) 847-1427
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 207RC0000X | IN | Primary |
Addresses
Primary practice location
11530 E Washington St
Indianapolis, IN 46229-2828
Mailing address
8825 E 21St St
Indianapolis, IN 46219-1936
Phone (317) 352-1970
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01040595A | Other | IN | PHYSICIAN LISC |
| 000000376909 | Other | IN | ANTHEM BCBS |
| 01040595B | Other | IN | CSR REF CARD |
National Provider Directory
National Provider Directory- Tax ID family
- Cardiac Vascular Physicians
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Cardiovascular Specialist/Technologist
- Indianapolis, IN
- NPI 1467463398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1881756336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8825 E 21ST ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462191936",
"telephone_number": "317-352-1970",
"fax_number": "317-352-1990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11530 E WASHINGTON ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462292828",
"telephone_number": "317-859-3095",
"fax_number": "317-859-3098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIAC & VASCULAR PHYSICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MANALO",
"authorized_official_first_name": "ELMER",
"authorized_official_middle_name": "PANTE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "317-847-1427",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IN",
"license": "207RC0000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN LISC",
"identifier": "01040595A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000376909",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSR REF CARD",
"identifier": "01040595B",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.