INNOVATION CARDIOLOGY GROUP, LLC
NPI 1104464577
Internal Medicine - Cardiovascular Disease in Norfolk, VA

Q: What is Innovation Cardiology Group LLC's NPI number?

The NPI number for Innovation Cardiology Group LLC is 1104464577. It was assigned to this organization in the NPPES registry on December 17, 2019. The provider is doing business as Innovation Cardiology Group, LLC.

Q: What is Innovation Cardiology Group LLC's specialty?

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

Active since December 17, 2019

400 GRESHAM DR STE 100, NORFOLK, VA 23507(757) 201-9571(757) 663-5662 Get Directions Write a Review

NPPES record last updated: May 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 29, 2020, Dec 17, 2019 (2 updates tracked since 2019).

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About Innovation Cardiology Group, Llc NPPES

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

INNOVATION CARDIOLOGY GROUP, LLC (NPI 1104464577) is a healthcare organization registered as a cardiovascular disease in Norfolk, Virginia and active in the NPI registry since December 2019. The organization lists Mohit Bhasin, Provider, as its authorized official.

NPPES Registry Identity

NPI1104464577

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameINNOVATION CARDIOLOGY GROUP LLC

Location Address400 GRESHAM DR STE 100Norfolk, VA 23507-1901

Mailing Address400 Gresham Dr Ste 100Norfolk, VA 23507-1901 · (757) 201-9571 · Fax (757) 663-5662

Phone(757) 201-9571

Fax(757) 663-5662

Organization SubpartNo

Authorized OfficialMohit BhasinProvider · (757) 201-9571

Enumeration DateDecember 17, 2019

Last NPPES UpdateMay 29, 20202 updates tracked since enumeration

NPPES CertifiedMay 29, 2020

✔ NPI 1104464577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

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.

400 GRESHAM DR STE 100, Norfolk, VA 23507

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Other Names 1

Doing Business AsInnovation Cardiology Group, Llc

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)

Innovation Cardiology Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Innovation Cardiology Group, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Mohit Bhasin, MD

Cardiovascular Disease (Cardiology)

NPI 1124070693

801 SOUTHAMPTON AVE STE A
Norfolk, VA 23510

(757) 201-1008

✔ PECOS✔ Accepts Medicare0.2 mi

Hannah Burmeister, NP

Nurse Practitioner

NPI 1568110104

801 SOUTHAMPTON AVE STE A
Norfolk, VA 23510

(757) 201-9571

✔ PECOS0.2 mi

Michael Gambill, DO

Cardiovascular Disease (Cardiology)

NPI 1679769202

400 SENTARA CIR STE 320
Williamsburg, VA 23188

(757) 345-4800

✔ PECOS✔ Accepts Medicare41 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 Innovation Cardiology Group LLC's NPI number?

The NPI number for Innovation Cardiology Group LLC is 1104464577. It was assigned to this organization in the NPPES registry on December 17, 2019. The provider is doing business as Innovation Cardiology Group, LLC.

Where is Innovation Cardiology Group LLC located?

Innovation Cardiology Group LLC is located at 400 Gresham Dr Ste 100, Norfolk, VA 23507. The listed phone number is (757) 201-9571.

What is Innovation Cardiology Group LLC's specialty?

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

Is Innovation Cardiology Group LLC enrolled in Medicare?

Yes. Innovation Cardiology Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovation Cardiology Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Innovation Cardiology Group LLC, in Cardiovascular Disease (Cardiology) and Nurse Practitioner. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Innovation Cardiology Group LLC was last updated on May 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.