CENTRUM CARDIOLOGY, LTD – NPI #1932396157
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.

CENTRUM CARDIOLOGY, LTD is a provider located in SPRINGFIELD, IL. NPPES has assigned the NPI number 1932396157 to CENTRUM CARDIOLOGY, LTD on October 02, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is RANDOLPH S MARTIN, MD, SC. 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 4 years ago on Jul 21, 2022. 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 CENTRUM CARDIOLOGY, LTD below.

NPI Profile for
CENTRUM CARDIOLOGY, LTD

NPI Number
1932396157
Enumeration Date

(more than 18 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
CENTRUM CARDIOLOGY, LTD
Former Legal Business Name: RANDOLPH S MARTIN, MD, SC
Primary location
319 E MADISON ST STE 2D
SPRINGFIELD, IL 62701-3120
Phone: (217) 546-0750 Fax: (217) 546-0894
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RANDOLPH MARTIN
PRESIDENT
Phone: (217) 546-0750
Updated
Identifiers

Identifiers for CENTRUM CARDIOLOGY, LTD

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.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDIL08432108
OTHERCIGNAIL9683056002
OTHERCOVENTRY HEATH CAREIL222623
OTHERFIRST HEALTHIL823599
OTHERHEALTH ALLIANCEIL008092
OTHERHEALTHLINK, INCIL133621
OTHERRAILROAD MEDICAREILP00140870
MEDICAIDIL036079474
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)
IL 036079474

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.