Cardiac and Vascular Center LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CARDIAC AND VASCULAR CENTER LLC

Doing business as

IVY Cardiovascular & Vein Center

Practice address

11917 Southern Blvd
Ste 400
Royal Palm Beach, FL 33411

Phone

(561) 210-9495

Fax

(561) 210-9475

NPI assigned

Feb 24, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Rishi J Panchal, DONPI 1568757987

Title

Owner

Phone

(352) 804-3866

Specialties & licenses 1

Addresses

Other names 1

• IVY Cardiovascular & Vein Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• HealthSun Health Plans Network

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rishi Jay Panchal, D.O.

  • Cardiovascular Disease Physician
  • Royal Palm Beach, FL
  • NPI 1568757987
  Medicare reassignment NPD Authorized official
• Kristal Panchal, APRN

  • Acute Care Nurse Practitioner
  • Royal Palm Beach, FL
  • NPI 1609245240
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1962036491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11917 SOUTHERN BLVD",
            "address_2": "STE 400",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "33411",
            "telephone_number": "561-210-9495",
            "fax_number": "561-210-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11917 SOUTHERN BLVD",
            "address_2": "STE 400",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "33411",
            "telephone_number": "561-210-9495",
            "fax_number": "561-210-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC AND VASCULAR CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "PANCHAL",
        "authorized_official_first_name": "RISHI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-804-3866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IVY Cardiovascular & Vein Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cardiovascular Disease Physician in Royal Palm Beach, FL
• Providers in Royal Palm Beach, FL by specialty
• Cardiovascular Disease Physician in Florida

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

Verify at the official NPI Registry.