NPIMap

Organization Active NPI

Institute of Cardiovascular Medicine LLC

  • Cardiovascular Disease Physician
  • Summerfield, FL
National Provider Identifier
1952325490
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
INSTITUTE OF CARDIOVASCULAR MEDICINE LLC
Practice address
10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone
(352) 347-7923
Fax
(352) 347-6181
NPI assigned
Jul 27, 2006
Last updated
Oct 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Authorized official

Name
Dr. Ali Nasser, M.D.
Title
Physician
Phone
(352) 291-0166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X FL Primary

Addresses

Primary practice location

10435 SE 170TH PL
Summerfield, FL 34491-8998

Mailing address

PO Box 919298
Orlando, FL 32891-9298
Phone (352) 624-7384

Other identifiers 3

IdentifierTypeStateIssuer
262215700MedicaidFL
40773OtherFLBCBS
CD5197OtherFLRR MEDICARE

Other names 1

  • Central Florida Heart Center Former legal business name

National Provider Directory

National Provider Directory

Locations

2685 SW 32nd Pl
Ste 300
Ocala, FL 34471
Phone (352) 861-5634

4600 SW 46th Ct
Ste 340
Ocala, FL 34474
Phone (352) 291-0239

Practitioners & affiliated clinicians

Practitioners 8

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": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1952325490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919298",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328919298",
            "telephone_number": "352-624-7384",
            "fax_number": "352-624-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10435 SE 170TH PL",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918998",
            "telephone_number": "352-347-7923",
            "fax_number": "352-347-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE OF CARDIOVASCULAR MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "NASSER",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "352-291-0166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262215700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "40773",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CD5197",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Florida Heart Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Summerfield, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.