CARDIOVASCULAR MEDICINE OF CLEVELAND, LLC – NPI #1750483848
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.

CARDIOVASCULAR MEDICINE OF CLEVELAND, LLC is a provider located in FAIRVIEW PARK, OH. NPPES has assigned the NPI number 1750483848 to CARDIOVASCULAR MEDICINE OF CLEVELAND, LLC on September 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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

The NPI profile was previously updated about 3 years ago on Sep 05, 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 CARDIOVASCULAR MEDICINE OF CLEVELAND, LLC below.

NPI Profile for
CARDIOVASCULAR MEDICINE OF CLEVELAND, LLC

NPI Number
1750483848
Enumeration Date

(about 20 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
CARDIOVASCULAR MEDICINE OF CLEVELAND, LLC
Primary location
21500 LORAIN RD
FAIRVIEW PARK, OH 44126-3302
Phone: (440) 356-6666 Fax: (440) 356-6651
Mailing address
PO BOX 450615
WESTLAKE, OH 44145-0611
Phone: (440) 356-6666 Fax: (440) 356-6651
Organization Subpart
No
Authorized Official
BASEL MOUSSA
OWNER
Phone: (440) 356-6666
Updated
Certification Date
Sep 05, 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 CARDIOVASCULAR MEDICINE OF CLEVELAND, LLC

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
medicaidOH2707495
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.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
OH 35-071087
207UN0901X
- Nuclear Medicine / Nuclear Cardiology
OH 35-071087
207RI0011X
- Internal Medicine / Interventional Cardiology
OH 35-071087

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.