KSC CARDIOLOGY PA
NPI 1023035862
Specialist in Winter Haven, FL
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
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ksc Cardiology Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Ksc Cardiology PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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
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, 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 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.
Is Ksc Cardiology PA enrolled in Medicare?
Yes. Ksc Cardiology PA is registered in the Medicare PECOS enrollment system.
When is Ksc Cardiology PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Ksc Cardiology PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Ksc Cardiology PA, in Cardiovascular Disease (Cardiology), Nurse Practitioner and Vascular Surgery. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Ksc Cardiology Pa · NPI 1023035862
Specialist organization in Winter Haven, Florida. Organization record, active in the CMS NPPES registry since July 17, 2006.
## Identity
- **NPI:** 1023035862 (Entity type: Organization)
- **Enumerated:** July 17, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Kollagunat Chandrasekhar, PRESIDENT
## Practice location
- **Address:** 320 1ST ST. N, Winter Haven, FL 33881
- **Phone:** (863) 508-1101 · **Fax:** (863) 299-6158
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Cardiovascular Disease (Cardiology) (1), Vascular Surgery (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 30, 2017
- **Other identifiers:** Medicare ID-Type Unspecified K2930 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1023035862) · Data from the CMS NPPES public registry.