PORT HURON HEART CENTER
NPI 1033198593
Internal Medicine - Cardiovascular Disease in Port Huron, MI

Active since January 12, 2006
1222 10TH AVE, PORT HURON, MI 48060(810) 985-9681(810) 985-3590 Get Directions Write a Review

NPPES record last updated: March 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Port Huron Heart Center NPPES

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

PORT HURON HEART CENTER (NPI 1033198593) is a healthcare organization registered as a cardiovascular disease in Port Huron, Michigan and active in the NPI registry since January 2006. The organization lists Bashar Samman, President, as its authorized official.

NPPES Registry Identity

NPI1033198593
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameCARDIOLOGY ASSOC OF PORT HURON
Location Address1222 10TH AVEPort Huron, MI 48060-3406
Mailing Address44201 Dequindre RdTroy, MI 48085-1117 · (248) 964-5000
Fax(810) 985-3590
Organization SubpartNo
Authorized OfficialBashar SammanPresident · (810) 985-9681
Enumeration DateJanuary 12, 2006
Last NPPES UpdateMarch 17, 2022
NPPES CertifiedMarch 17, 2022
✔ NPI 1033198593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MI · 4301048340
Definition
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.
1222 10TH AVE, Port Huron, MI 48060

Other Names 1

Other NamePort Huron Heart Center

Other Identifiers 2

Medicaid3066919MI
Other770G460150MI · Blue Cross Blue Shield

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

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)

Port Huron Heart Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

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.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20040916000650Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Port Huron Heart Center, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Cardiovascular Disease (Cardiology)8
Nurse Practitioner5
Interventional Cardiology1

Clinicians, nearest first (14)

Interventional Cardiology
NPI 1447696737
1222 10TH AVE
Port Huron, MI 48060
(810) 985-9681
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1669433868
1222 10TH AVE
Port Huron, MI 48060
(810) 985-9681
✔ PECOSSame address
Cardiovascular Disease (Cardiology)
NPI 1285695452
1222 10TH AVE
Port Huron, MI 48060
(810) 985-9681
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1245733955
1222 10TH AVE
Port Huron, MI 48060
(810) 985-9681
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1760443238
1222 10TH AVE
Port Huron, MI 48060
(810) 985-9681
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1154783470
1222 10TH AVE
Port Huron, MI 48060
(810) 985-9681
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1679534135
1222 10TH AVE
Port Huron, MI 48060
(810) 985-9681
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1558322743
1222 10TH AVE
Port Huron, MI 48060
(810) 985-9681
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1235332917
1222 10TH AVE
Port Huron, MI 48060
(810) 985-9681
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1588625743
1222 10TH AVE
Port Huron, MI 48060
(810) 985-9681
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1366023681
3041 COMMERCE DR STE B
Fort Gratiot, MI 48059
(810) 432-0500
✔ PECOS✔ Accepts Medicare3.6 mi
Nurse Practitioner
NPI 1629549159
46960 VAN DYKE AVE # 8144
Shelby Township, MI 48317
(586) 726-9220
✔ PECOS✔ Accepts Medicare39 mi
Cardiovascular Disease (Cardiology)
NPI 1770017360
1101 W UNIVERSITY DR # 2-SOUTH
Rochester, MI 48307
(248) 601-4805
✔ PECOS✔ Accepts Medicare42 mi
Nurse Practitioner
NPI 1619379690
16001 W 9 MILE RD
Southfield, MI 48075
(248) 849-5806
✔ PECOS✔ Accepts Medicare54 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Cardiology Assoc Of Port Huron's NPI number?

The NPI number for Cardiology Assoc Of Port Huron is 1033198593. It was assigned to this organization in the NPPES registry on January 12, 2006. The provider is also known as Port Huron Heart Center.

Where is Cardiology Assoc Of Port Huron located?

Cardiology Assoc Of Port Huron is located at 1222 10th Ave, Port Huron, MI 48060. The listed phone number is (810) 985-9681.

What is Cardiology Assoc Of Port Huron's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Cardiology Assoc Of Port Huron enrolled in Medicare?

Yes. Cardiology Assoc Of Port Huron is registered in the Medicare PECOS enrollment system.

When is Cardiology Assoc Of Port Huron'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 (Michigan, Clinic/Group Practice) is due for revalidation by October 31, 2026. 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 Cardiology Assoc Of Port Huron?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 3 Medicare specialties reassign their Medicare billing to Cardiology Assoc Of Port Huron. 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 Cardiovascular Disease (Cardiology) (8), Nurse Practitioner (5) and Interventional Cardiology (1). Of these, 10 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Cardiology Assoc Of Port Huron accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Cardiology Assoc Of Port Huron 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 Cardiology Assoc Of Port Huron was last updated on March 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.