STATELINE HEART AND VASCULAR HEALTH, INC
NPI 1306361803
Internal Medicine - Cardiovascular Disease in Martinsville, VA

Active since August 07, 2017
312 FAIRY STREET EXT STE 101, MARTINSVILLE, VA 24112(757) 813-6493 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Aug 31, 2017, Aug 7, 2017 (3 updates tracked since 2017).

About Stateline Heart And Vascular Health, Inc NPPES

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

STATELINE HEART AND VASCULAR HEALTH, INC (NPI 1306361803) is a healthcare organization registered as a cardiovascular disease in Martinsville, Virginia and active in the NPI registry since August 2017. The organization lists Deepak Dilip Banerjee, President, as its authorized official.

NPPES Registry Identity

NPI1306361803
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameSTATELINE HEART AND VASCULAR HEALTH, INC
Location Address312 FAIRY STREET EXT STE 101Martinsville, VA 24112-1912
Mailing Address20 Hunt Country Farms RdMartinsville, VA 24112-6622 · (757) 813-6493
Organization SubpartNo
Authorized OfficialDeepak Dilip BanerjeePresident · (757) 813-6493
Enumeration DateAugust 7, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1306361803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in VA · 0101230554
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.
312 FAIRY STREET EXT STE 101, Martinsville, VA 24112

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)

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

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Stateline Heart And Vascular Health, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1275194441
312 FAIRY STREET EXT STE 101
Martinsville, VA 24112
(276) 403-4278
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1710861125
435 COMMONWEALTH BLVD E
Martinsville, VA 24112
(276) 403-4278
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1740784776
320 HOSPITAL DR
Martinsville, VA 24112
(276) 666-7394
✔ PECOS✔ Accepts Medicare0.5 mi
Internal Medicine
NPI 1437117579
435 COMMONWEALTH BLVD E
Martinsville, VA 24112
(276) 403-4278
✔ PECOS✔ Accepts Medicare1.9 mi
Nurse Practitioner
NPI 1639833213
435 COMMONWEALTH BLVD E
Martinsville, VA 24112
(276) 403-4278
✔ PECOS1.9 mi
Nurse Practitioner
NPI 1437606340
1126 N CHURCH ST STE 300
Greensboro, NC 27401
(336) 627-3878
✔ PECOS✔ Accepts Medicare42 mi
Cardiac Electrophysiology
NPI 1578542841
611 S CARLIN SPRINGS RD STE 301
Arlington, VA 22204
(703) 801-2041
✔ PECOS✔ Accepts Medicare211 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 Stateline Heart And Vascular Health, Inc's NPI number?

The NPI number for Stateline Heart And Vascular Health, Inc is 1306361803. It was assigned to this organization in the NPPES registry on August 7, 2017.

Where is Stateline Heart And Vascular Health, Inc located?

Stateline Heart And Vascular Health, Inc is located at 312 Fairy Street Ext Ste 101, Martinsville, VA 24112. The listed phone number is (757) 813-6493.

What is Stateline Heart And Vascular Health, Inc's specialty?

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

Is Stateline Heart And Vascular Health, Inc enrolled in Medicare?

Yes. Stateline Heart And Vascular Health, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stateline Heart And Vascular Health, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Stateline Heart And Vascular Health, 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 Nurse Practitioner (5), Cardiac Electrophysiology (1) and Internal Medicine (1). Of these, 1 practice at this address and 5 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 Stateline Heart And Vascular Health, Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.