PRIME HEART AND VASCULAR CARE
NPI 1104434356
Internal Medicine - Cardiovascular Disease in Corinth, MS
About Prime Heart And Vascular Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIME HEART AND VASCULAR CARE (NPI 1104434356) is a healthcare organization registered as a cardiovascular disease in Corinth, Mississippi and active in the NPI registry since July 2020. The organization lists Mandar R Jagtap, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prime Heart And Vascular Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Prime Heart And Vascular Care, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Prime Heart And Vascular Care's NPI number?
The NPI number for Prime Heart And Vascular Care is 1104434356. It was assigned to this organization in the NPPES registry on July 14, 2020.
Where is Prime Heart And Vascular Care located?
Prime Heart And Vascular Care is located at 1310 Highway 72 E, Corinth, MS 38834. The listed phone number is (317) 201-2307.
What is Prime Heart And Vascular Care's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Prime Heart And Vascular Care enrolled in Medicare?
Yes. Prime Heart And Vascular Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prime Heart And Vascular Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Prime Heart And Vascular Care. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Prime Heart And Vascular Care was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Prime Heart And Vascular Care · NPI 1104434356
Cardiovascular Disease organization in Corinth, Mississippi. Organization record, active in the CMS NPPES registry since July 14, 2020.
## Identity
- **NPI:** 1104434356 (Entity type: Organization)
- **Enumerated:** July 14, 2020
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Mandar Jagtap, PROVIDER
## Practice location
- **Address:** 1310 HIGHWAY 72 E, Corinth, MS 38834-6524
- **Phone:** (317) 201-2307
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 7, 2021
- **Other identifiers:** Medicaid 03005201 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1104434356) · Data from the CMS NPPES public registry.