FIRST COAST CARDIOVASCULAR INSTITUTE LLC
NPI 1013711498
Clinic/Center - Rehabilitation, Cardiac Facilities in Jacksonville, FL
About First Coast Cardiovascular Institute Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FIRST COAST CARDIOVASCULAR INSTITUTE LLC (NPI 1013711498) is a healthcare organization registered as a rehabilitation, cardiac facilities in Jacksonville, Florida and active in the NPI registry since April 2025. The organization holds 2 active CLIA laboratory certificates and lists Yazan Khatib, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
First Coast Cardiovascular Institute Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to First Coast Cardiovascular Institute LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Jacksonville, FL 32256
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2186776
First Coast Cardiovascular Institute, LLC · Jacksonville, FLCertificate of Compliance 10D1004976
First Coast Cardiovascular Institute LLC · Jacksonville, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is First Coast Cardiovascular Institute LLC's NPI number?
The NPI number for First Coast Cardiovascular Institute LLC is 1013711498. It was assigned to this organization in the NPPES registry on April 3, 2025.
Where is First Coast Cardiovascular Institute LLC located?
First Coast Cardiovascular Institute LLC is located at 7011 A C Skinner Pkwy Ste 160, Jacksonville, FL 32256. The listed phone number is (904) 493-3333.
What is First Coast Cardiovascular Institute LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Cardiac Facilities, with taxonomy code 261QR0404X.
Is First Coast Cardiovascular Institute LLC enrolled in Medicare?
Yes. First Coast Cardiovascular Institute LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through First Coast Cardiovascular Institute LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to First Coast Cardiovascular Institute LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Interventional Cardiology (3) and Cardiovascular Disease (Cardiology) (2). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does First Coast Cardiovascular Institute LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for First Coast Cardiovascular Institute LLC was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# First Coast Cardiovascular Institute Llc · NPI 1013711498
Rehabilitation, Cardiac Facilities organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since April 3, 2025.
## Identity
- **NPI:** 1013711498 (Entity type: Organization)
- **Enumerated:** April 3, 2025
- **Primary specialty:** Clinic/Center - Rehabilitation, Cardiac Facilities · taxonomy 261QR0404X
- **Organization subpart:** Yes (part of First Coast Cardiovascular Institute Llc)
- **Authorized official:** Yazan Khatib, PRESIDENT
## Practice location
- **Address:** 7011 A C SKINNER PKWY STE 160, Jacksonville, FL 32256-6953
- **Phone:** (904) 493-3333 · **Fax:** (904) 493-2222
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Interventional Cardiology (3), Cardiovascular Disease (Cardiology) (2); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 3, 2025
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013711498) · Data from the CMS NPPES public registry.