ADVANCED INTERVENTIONAL CARDIOLOGY CONSULTANTS
NPI 1255310132
Internal Medicine - Cardiovascular Disease in Lake Wales, FL

Q: What is Advanced Interventional Cardiology Consultants's specialty?

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

Active since January 10, 2006

320 STATE ROAD 60 E, LAKE WALES, FL 33853(863) 679-7985(863) 679-1865 Get Directions Write a Review

NPPES record last updated: January 27, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Advanced Interventional Cardiology Consultants NPPES

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

ADVANCED INTERVENTIONAL CARDIOLOGY CONSULTANTS (NPI 1255310132) is a healthcare organization registered as a cardiovascular disease in Lake Wales, Florida and active in the NPI registry since January 2006. The organization lists Boris D Nunez, President, as its authorized official.

NPPES Registry Identity

NPI1255310132

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameADVANCED INTERVENTIONAL CARDIOLOGY CONSULTANTS

Location Address320 STATE ROAD 60 ELake Wales, FL 33853-3750

Mailing Address320 State Road 60 ELake Wales, FL 33853-3750 · (863) 679-7985 · Fax (863) 679-1865

Phone(863) 679-7985

Fax(863) 679-1865

Organization SubpartNo

Authorized OfficialBoris D NunezPresident · (863) 679-7985

Enumeration DateJanuary 10, 2006

Last NPPES UpdateJanuary 27, 2010

✔ NPI 1255310132 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.

320 STATE ROAD 60 E, Lake Wales, FL 33853

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Other Identifiers 1

Medicare ID-Type UnspecifiedK1040FL

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Interventional Cardiology Consultants 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 Advanced Interventional Cardiology Consultants, which bills Medicare for the services this clinician delivers.

Clinician (1)

Boris Nunez, M.D.

Cardiovascular Disease (Cardiology)

NPI 1396723417

320 STATE ROAD 60 E
Lake Wales, FL 33853

(863) 679-7985

✔ PECOS✔ Accepts MedicareSame address

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 10D1031520

Advanced Interventional Cardiology Consultants · Lake Wales, FL

Expired · Oct 3, 2026

CLIA Number10D1031520

Laboratory TypePhysician Office

Certificate Effective DateOctober 4, 2024

Certificate Expiration DateOctober 3, 2026

Laboratory DirectorBoris D. Nunez

Laboratory Phone(863) 679-7985

Laboratory LocationAdvanced Interventional Cardiology Consultants320 Sr 60 East, Lake Wales, FL 33853

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 Advanced Interventional Cardiology Consultants's NPI number?

The NPI number for Advanced Interventional Cardiology Consultants is 1255310132. It was assigned to this organization in the NPPES registry on January 10, 2006.

Where is Advanced Interventional Cardiology Consultants located?

Advanced Interventional Cardiology Consultants is located at 320 State Road 60 E, Lake Wales, FL 33853. The listed phone number is (863) 679-7985.

What is Advanced Interventional Cardiology Consultants's specialty?

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

Is Advanced Interventional Cardiology Consultants enrolled in Medicare?

Yes. Advanced Interventional Cardiology Consultants is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Interventional Cardiology Consultants?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Advanced Interventional Cardiology Consultants. 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.

What insurance does Advanced Interventional Cardiology Consultants accept?

Health plans from Ambetter Health, Ambetter of Alabama and Molina Healthcare list Advanced Interventional Cardiology Consultants 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 Advanced Interventional Cardiology Consultants was last updated on January 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.