Active NPI
Amit Nanavati, MD
- Interventional Cardiology Physician
- Palm Coast, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- ME127733
- Practice address
- 61 Memorial Medical Pkwy Ste 3816
Palm Coast, FL 32164-5982 - Phone
- (386) 586-4765
- Fax
- (386) 586-4769
- NPI assigned
- Apr 16, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | MD442447 | PA | |
| Interventional Cardiology Physician | 207RI0011X | ME127733 | FL | Primary |
Addresses
Primary practice location
61 Memorial Medical Pkwy Ste 3816
Palm Coast, FL 32164-5982
Mailing address
61 Memorial Medical Pkwy Ste 3816
Palm Coast, FL 32164-5982
Phone (386) 586-1720
Other practice location 1
120 Cypress Edge Dr
201
Palm Coast, FL 32164-8453
Phone (386) 586-1720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Texas a & M University System, HSC, College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
61 Memorial Medical Pkwy
Suite 3816
Palm Coast, FL 32164-5982
Phone 8322643744000
Hospital & facility affiliations
- AdventHealth Palm Coast
- Adventhealth Palm Coast Parkway
- Adventhealth Daytona Beach
- Adventhealth Orlando
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 165 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME127733 | FL | MD | Interventional Cardiology Physician |
| MD442447 | PA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital Flagler Inc | Current | Accepting new patients | |
| The Heart Center of Palm Coast, LLC | Current | Accepting new patients | |
| Adventhealth Primary Care Network Inc | Past | Accepting new patients | |
| Memorial Hospital Flagler Inc. | Past | Accepting new patients |
Locations
301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906
120 Cypress Edge Dr
Ste 210
Palm Coast, FL 32164
Phone (386) 445-4750
120 Cypress Edge Dr
Ste 201
Palm Coast, FL 32164
Phone (386) 231-4017
120 Cypress Edge Dr
Ste 102
Palm Coast, FL 32164
Phone (386) 586-4280
61 Memorial Medical Pkwy
Ste 3816
Palm Coast, FL 32164
Phone (386) 586-1720
61 Memorial Medical Pkwy
Ste 1-800B
Palm Coast, FL 32164
Phone (386) 586-0760
61 Memorial Medical Pkwy
Ste 1-800A
Palm Coast, FL 32164
Phone (386) 586-1810
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GFDHCD
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Adventhealth Palm Coast Parkway | Hospital | Corporate Director | Jun 10, 2023 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1861102345
Corporate Director
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Palm Coast, FL
- NPI 1437808029
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
-
- Family Medicine Physician
- Altamonte Springs, FL
- NPI 1093493637
-
- Multi-Specialty Clinic/Center
- Palm Coast, FL
- NPI 1558530600
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1861102345
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1063426823
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1932373479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 MEMORIAL MEDICAL PKWY STE 3816",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321645982",
"telephone_number": "386-586-1720",
"fax_number": "386-586-5422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 MEMORIAL MEDICAL PKWY STE 3816",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321645982",
"telephone_number": "386-586-4765",
"fax_number": "386-586-4769"
}
],
"practiceLocations": [
{
"address_1": "120 Cypress Edge Dr",
"address_2": "201",
"address_purpose": "LOCATION",
"city": "Palm Coast",
"state": "FL",
"postal_code": "321648453",
"country_code": "US",
"telephone_number": "386-586-1720",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NANAVATI",
"first_name": "AMIT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-16",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "PA",
"license": "MD442447",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "FL",
"license": "ME127733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- 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.