NPIMap

Organization Active NPI

Preventive Cardiology & Internal Medicine Associates, P.L.

  • Internal Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1922343466
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME72888 Issued in FL
Legal business name
PREVENTIVE CARDIOLOGY & INTERNAL MEDICINE ASSOCIATES, P.L.
Practice address
3606 Maclay Blvd S
Suite 104
Tallahassee, FL 32312-1277
Phone
(850) 766-8496
NPI assigned
Dec 10, 2012
Last updated
Oct 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Authorized official

Name
Dr. Sandeep Rahangdale, M.D.NPI 1699776559
Title
Physician
Phone
(850) 210-0593

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
Internal Medicine Physician 207R00000X ME72888 FL Primary

Addresses

Primary practice location

3606 Maclay Blvd S
Suite 104
Tallahassee, FL 32312-1277

Mailing address

3606 Maclay Blvd S
Suite 104
Tallahassee, FL 32312-1277
Phone (850) 210-0593

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6506/brand/1/csg/1/fhir/r4

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": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1922343466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 MACLAY BLVD S",
            "address_2": "SUITE 104",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323121277",
            "telephone_number": "850-210-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 MACLAY BLVD S",
            "address_2": "SUITE 104",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323121277",
            "telephone_number": "850-766-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE CARDIOLOGY & INTERNAL MEDICINE ASSOCIATES, P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "RAHANGDALE",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "850-210-0593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME72888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.