NPIMap

Individual provider Active NPI

Imraan Ansaarie, MD

  • Interventional Cardiology Physician
  • East Palatka, FL
National Provider Identifier
1972714632
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME121178 Issued in FL
Practice address
215 Hwy 17S
East Palatka, FL 32131
Phone
(773) 412-3420
NPI assigned
May 24, 2007
Last updated
Jun 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME121178 FL
Interventional Cardiology Physician 207RI0011X ME121178 FL Primary

Addresses

Primary practice location

215 Hwy 17S
East Palatka, FL 32131

Mailing address

209 Pinehurst Pointe Dr
St Augustine, FL 32092-3703
Phone (773) 412-3420

Other practice location 1

1301 Plantation Island Dr S Ste 401A
St Augustine, FL 32080-3118
Phone (386) 232-9203

Other identifiers 2

IdentifierTypeStateIssuer
200902590MedicaidIN
012828200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140905001677 FL Practitioner - Peripheral Vascular DiseasePractitioner - Cardiovascular Disease (Cardiology) 5294807178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Peripheral Vascular DiseaseAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ansaarie Cardiac and Endovascular Center of ExcellenceGroup PAC ID 8123309127, 5 clinicians

Practice addresses (Care Compare)

215 S US Hwy 17
East Palatka, FL 32131-4087
Phone (386) 232-9203

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.27 of 100Reported as group
Quality
85.06
Promoting interoperability
98
Improvement activities
40
Cost
77.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting11
Leg revascularization (restoring blood flow)116

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Interpreters Inc CurrentSince Dec 24, 2014 Accepting new patients
Ansaarie Cardiac & Endovascular Center of Excellence Cardiovascular Disease Current Accepting new patients
Memorial Hospital of South Bend Past Accepting new patients

Locations

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

1301 Plantation Island Dr S
Ste 302A
Saint Augustine, FL 32080
Phone (386) 232-9203

400 Health Park Blvd
St Augustine, FL 32086
Phone (904) 819-4300

Interoperability endpoints

  • Direct secure messaging: iansaarie740646@direct.shands.ufl.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1972714632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 PINEHURST POINTE DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923703",
            "telephone_number": "773-412-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HWY 17S",
            "city": "EAST PALATKA",
            "state": "FL",
            "postal_code": "32131",
            "telephone_number": "773-412-3420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Plantation Island Dr S Ste 401A",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320803118",
            "country_code": "US",
            "telephone_number": "386-232-9203",
            "fax_number": "386-222-3064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANSAARIE",
        "first_name": "IMRAAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME121178",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME121178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200902590",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012828200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Palatka, FL

Sources for this page

Verify at the official NPI Registry.