Individual provider Active NPI

Amit Nanavati, MD

  • Interventional Cardiology Physician
  • Palm Coast, FL
National Provider Identifier
1932373479
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME127733 Issued in FL
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

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161110000876 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 6800936279 Reassigns benefits to 1 organization

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
The Heart Center of Palm Coast, LLCGroup PAC ID 2062809593, 2 clinicians

Practice addresses (Care Compare)

61 Memorial Medical Pkwy
Suite 3816
Palm Coast, FL 32164-5982
Phone 8322643744000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting165
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME127733FLMDInterventional Cardiology Physician
MD442447PAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Flagler Inc CurrentSince Aug 15, 2016 Accepting new patients
The Heart Center of Palm Coast, LLC CurrentSince May 1, 2022 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

  • FHIR API: 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.

FacilityTypeRoleSince
Adventhealth Palm Coast ParkwayPalm Coast, FL, CCN 100363 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.

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.