Organization Active NPI

Cardiovascular Institute of Mississippi, LLC

  • Cardiovascular Disease Physician
  • Flowood, MS
National Provider Identifier
1902140635
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
16080 Issued in MS
Legal business name
CARDIOVASCULAR INSTITUTE OF MISSISSIPPI, LLC
Practice address
1031 N Flowood Dr
Flowood, MS 39232-9533
Phone
(601) 487-7445
Fax
(601) 487-7446
NPI assigned
Nov 19, 2012
Last updated
Dec 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Authorized official

Name
Abdul Ghafour Bahro, M.D.NPI 1447286612
Title
President/Owner
Phone
(601) 529-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 16080 MS Primary

Addresses

Primary practice location

1031 N Flowood Dr
Flowood, MS 39232-9533

Mailing address

1031 N Flowood Dr
Flowood, MS 39232-9533
Phone (601) 487-7445

Other practice location 1

2200 Ms-61
Vicksburg, MS 39183
Phone (601) 487-7445

National Provider Directory

National Provider Directory

Locations

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

2080 S Frontage Rd
Ste 11
Vicksburg, MS 39180

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26331/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1902140635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 N FLOWOOD DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329533",
            "telephone_number": "601-487-7445",
            "fax_number": "601-487-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 N FLOWOOD DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329533",
            "telephone_number": "601-487-7445",
            "fax_number": "601-487-7446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 MS-61",
            "address_purpose": "LOCATION",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "39183",
            "country_code": "US",
            "telephone_number": "601-487-7445",
            "fax_number": "601-487-7446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARDIOVASCULAR INSTITUTE OF MISSISSIPPI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "BAHRO",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "GHAFOUR",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "601-529-1600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "16080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.