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JOHNSTOWN HEART AND VASCULAR CENTER INC.
NPI 1073858098
Internal Medicine - Interventional Cardiology in Johnstown, PA

Active since December 03, 2012CLIA 39D2130488 · Waiver
1027 BROAD ST, JOHNSTOWN, PA 15906(814) 619-4587(814) 254-4154 Get Directions Write a Review

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Johnstown Heart And Vascular Center Inc. NPPES

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

JOHNSTOWN HEART AND VASCULAR CENTER INC. (NPI 1073858098) is a healthcare organization registered as an interventional cardiology in Johnstown, Pennsylvania and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Samir Hadeed, President, as its authorized official.

NPPES Registry Identity

NPI1073858098
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameJOHNSTOWN HEART AND VASCULAR CENTER INC.
Location Address1027 BROAD STJohnstown, PA 15906-2437
Mailing Address1027 Broad StJohnstown, PA 15906-2437 · (814) 619-4587 · Fax (814) 254-4154
Phone(814) 619-4587
Fax(814) 254-4154
Organization SubpartNo
Authorized OfficialSamir HadeedPresident · (412) 260-6867
Enumeration DateDecember 3, 2012
Last NPPES UpdateSeptember 2, 2016
✔ NPI 1073858098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in PA · MD073567L
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License MD073567L (PA)
1027 BROAD ST, Johnstown, PA 15906
Open in Google Maps ↗

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johnstown Heart And Vascular Center Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Johnstown Heart And Vascular Center Inc., which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Jude Mugerwa, MD
Cardiovascular Disease (Cardiology)
NPI 1639112642
1 TECH PARK DR
Johnstown, PA 15901
(814) 534-3850
✔ PECOS✔ Accepts Medicare1.6 mi
Timothy Bodenschatz, PA-C
Cardiovascular Disease (Cardiology)
NPI 1194537324
374 THEATRE DR
Johnstown, PA 15904
(814) 619-4587
✔ PECOS✔ Accepts Medicare6.8 mi
Samir Hadeed, M.D.
Cardiovascular Disease (Cardiology)
NPI 1023045523
374 THEATRE DR
Johnstown, PA 15904
(814) 619-4587
✔ PECOS✔ Accepts Medicare6.9 mi
Linsay Angus, CRNP
Nurse Practitioner
NPI 1770147415
241 SCHOOLHOUSE RD STE 201
Johnstown, PA 15904
(814) 266-5650
✔ PECOS7.0 mi
Wilman Olmedo Calderon
Cardiovascular Disease (Cardiology)
NPI 1457788796
16 GUION PL
New Rochelle, NY 10801
(914) 632-5000
✔ PECOS✔ Accepts Medicare273 mi

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 39D2130488

Johnstown Heart And Vascular Center · Johnstown, PA
Active · expires Aug 31, 2028
CLIA Number39D2130488
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorDr. Samir Hadeed
Laboratory Phone(814) 619-4587
Laboratory LocationJohnstown Heart And Vascular Center374 Theatre Drive, Johnstown, PA 15904
CLIA data matches this NPI record on: 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 Johnstown Heart And Vascular Center Inc.'s NPI number?

The NPI number for Johnstown Heart And Vascular Center Inc. is 1073858098. It was assigned to this organization in the NPPES registry on December 3, 2012.

Where is Johnstown Heart And Vascular Center Inc. located?

Johnstown Heart And Vascular Center Inc. is located at 1027 Broad St, Johnstown, PA 15906. The listed phone number is (814) 619-4587.

What is Johnstown Heart And Vascular Center Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Johnstown Heart And Vascular Center Inc. enrolled in Medicare?

Yes. Johnstown Heart And Vascular Center Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Johnstown Heart And Vascular Center Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Johnstown Heart And Vascular Center Inc.. 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) (4) and Nurse Practitioner (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Johnstown Heart And Vascular Center Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2130488) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Johnstown Heart And Vascular Center Inc. was last updated on September 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.