EXCEL CARDIAC CARE – NPI #1578904512
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

EXCEL CARDIAC CARE is a provider located in FORT WORTH, TX. NPPES has assigned the NPI number 1578904512 to EXCEL CARDIAC CARE on July 06, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EXCEL CARDIAC CARE” is a dba name, the actual legal business name for this organization is EXCEL CARDIAC CARE PLLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 3 years ago on Jan 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EXCEL CARDIAC CARE below.

NPI Profile for
EXCEL CARDIAC CARE PLLC

NPI Number
1578904512
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EXCEL CARDIAC CARE PLLC
Doing Business As (dba): EXCEL CARDIAC CARE
Primary location
4400 HERITAGE TRACE PKWY STE 208
FORT WORTH, TX 76244-8902
Phone: (817) 518-9005 Fax: (817) 518-9015
1 Other location(s):
1502 S Fm 51 Ste B
Decatur, TX 76234-2476
Phone: (940) 799-3580
Fax: (817) 518-9015
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SARITHA DODLA
MANAGING MEMBER
Phone: (940) 634-3035
Updated
Certification Date
Jan 07, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for EXCEL CARDIAC CARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidTX338288901
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.