SAN ANGELO CARDIOVASCULAR CENTER OF EXCELLENCE, PLLC
NPI 1134788508
Internal Medicine - Interventional Cardiology in San Angelo, TX

Q: What is San Angelo Cardiovascular Center Of Excellence, PLLC's specialty?

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

Active since June 10, 2019

3180 EXECUTIVE DR STE 102, SAN ANGELO, TX 76904(325) 944-1240 Get Directions Write a Review

NPPES record last updated: June 10, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About San Angelo Cardiovascular Center Of Excellence, Pllc NPPES

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

SAN ANGELO CARDIOVASCULAR CENTER OF EXCELLENCE, PLLC (NPI 1134788508) is a healthcare organization registered as an interventional cardiology in San Angelo, Texas and active in the NPI registry since June 2019. The organization lists Miltiadis Leon, Authorized Official, President, as its authorized official.

NPPES Registry Identity

NPI1134788508

Entity TypeOrganization

Primary Taxonomy207RI0011X

Legal Business NameSAN ANGELO CARDIOVASCULAR CENTER OF EXCELLENCE, PLLC

Location Address3180 EXECUTIVE DR STE 102San Angelo, TX 76904-6837

Mailing Address3180 Executive Dr Ste 102San Angelo, TX 76904-6837 · (325) 944-1240

Phone(325) 944-1240

Organization SubpartNo

Authorized OfficialMiltiadis LeonAuthorized Official, President · (325) 651-6566

Enumeration DateJune 10, 2019

✔ NPI 1134788508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

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.

3180 EXECUTIVE DR STE 102, San Angelo, TX 76904

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 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)

San Angelo Cardiovascular Center Of Excellence, Pllc 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 San Angelo Cardiovascular Center Of Excellence, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Miltiadis Leon, MD

Cardiovascular Disease (Cardiology)

NPI 1558328690

3180 EXECUTIVE DRIVE, SUITE 102
San Angelo, TX 76904

(325) 944-1240

✔ PECOS✔ Accepts MedicareSame address

Lucas Ferrer-Cardona, M.D.

Vascular Surgery

NPI 1790912244

4502 MEDICAL DR
San Antonio, TX 78229

(210) 358-2074

✔ PECOS✔ Accepts Medicare173 mi

Dimitrios Miserlis, M.D.

Vascular Surgery

NPI 1720375348

215 N SAN SABA STE 206
San Antonio, TX 78207

(210) 615-6626

✔ PECOS✔ Accepts Medicare181 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 San Angelo Cardiovascular Center Of Excellence, PLLC's NPI number?

The NPI number for San Angelo Cardiovascular Center Of Excellence, PLLC is 1134788508. It was assigned to this organization in the NPPES registry on June 10, 2019.

Where is San Angelo Cardiovascular Center Of Excellence, PLLC located?

San Angelo Cardiovascular Center Of Excellence, PLLC is located at 3180 Executive Dr Ste 102, San Angelo, TX 76904. The listed phone number is (325) 944-1240.

What is San Angelo Cardiovascular Center Of Excellence, PLLC's specialty?

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

Is San Angelo Cardiovascular Center Of Excellence, PLLC enrolled in Medicare?

Yes. San Angelo Cardiovascular Center Of Excellence, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Angelo Cardiovascular Center Of Excellence, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to San Angelo Cardiovascular Center Of Excellence, PLLC, in Cardiovascular Disease (Cardiology) 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for San Angelo Cardiovascular Center Of Excellence, PLLC was last updated on June 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.