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KSC CARDIOLOGY PA
NPI 1023035862
Specialist in Winter Haven, FL

Active since July 17, 2006CLIA 10D0984929 · Waiver
320 1ST ST. N, WINTER HAVEN, FL 33881(863) 508-1101(863) 299-6158 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ksc Cardiology Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KSC CARDIOLOGY PA (NPI 1023035862) is a healthcare organization registered as a specialist in Winter Haven, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 2, 2027 and lists Kollagunat S Chandrasekhar, President, as its authorized official.

NPPES Registry Identity

NPI1023035862
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKSC CARDIOLOGY PA
Location Address320 1ST ST. NWinter Haven, FL 33881
Mailing Address320 1st St NWinter Haven, FL 33881 · (863) 508-1101 · Fax (863) 299-6158
Phone(863) 508-1101
Fax(863) 299-6158
Organization SubpartNo
Authorized OfficialKollagunat S ChandrasekharPresident · (863) 294-5505
Enumeration DateJuly 17, 2006
Last NPPES UpdateJanuary 30, 2017
✔ NPI 1023035862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME64020
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
320 1ST ST. N, Winter Haven, FL 33881
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Other Identifiers 1

Medicare ID-Type UnspecifiedK2930FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 10D0984929

Ksc Cardiology PA · Winter Haven, FL
Active · expires Apr 2, 2027
CLIA Number10D0984929
Laboratory TypePhysician Office
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorK S. Chandrasekhar MD
Laboratory Phone(863) 508-1101
Laboratory LocationKsc Cardiology PA320 1st St N, Winter Haven, FL 33881
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently 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 Ksc Cardiology PA's NPI number?

The NPI number for Ksc Cardiology PA is 1023035862. It was assigned to this organization in the NPPES registry on July 17, 2006.

Where is Ksc Cardiology PA located?

Ksc Cardiology PA is located at 320 1st St. N, Winter Haven, FL 33881. The listed phone number is (863) 508-1101.

What is Ksc Cardiology PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Ksc Cardiology PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0984929) is associated with this NPI, valid through April 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ksc Cardiology PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Wellpoint list Ksc Cardiology PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ksc Cardiology PA was last updated on January 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.