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EKG PANEL OF BLAKE
NPI 1356733695
Internal Medicine - Cardiovascular Disease in Bradenton, FL

Active since February 24, 2015
2020 59TH ST W, BLAKE MEDICAL CENTER, BRADENTON, FL 34209(941) 321-2830(504) 588-2165 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ekg Panel Of Blake NPPES

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

EKG PANEL OF BLAKE (NPI 1356733695) is a healthcare organization registered as a cardiovascular disease in Bradenton, Florida and active in the NPI registry since February 2015. The organization lists Marina Costopoulos, Administrator, as its authorized official.

NPPES Registry Identity

NPI1356733695
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameEKG PANEL OF BLAKE
Location Address2020 59TH ST W, BLAKE MEDICAL CENTERBradenton, FL 34209-4604
Mailing AddressPo Box 25548, Ekg Panel Of BlakeSarasota, FL 34277-2548 · (941) 321-2830 · Fax (504) 588-2165
Phone(941) 321-2830
Fax(504) 588-2165
Organization SubpartNo
Authorized OfficialMarina CostopoulosAdministrator · (941) 365-8532
Enumeration DateFebruary 24, 2015
Last NPPES UpdateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
✔ NPI 1356733695 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.
2020 59TH ST W, Bradenton, FL 34209
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)

Ekg Panel Of Blake is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Ekg Panel Of Blake, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Raj Rajan, M.D.
Cardiovascular Disease (Cardiology)
NPI 1114971025
2010 59TH ST W SUITE #4200
Bradenton, FL 34209
(941) 794-3999
✔ PECOS✔ Accepts Medicare0.1 mi
Robert Subbiondo, MD
Cardiovascular Disease (Cardiology)
NPI 1467449017
2101 61ST ST W
Bradenton, FL 34209
(941) 761-4448
✔ PECOS✔ Accepts Medicare0.1 mi
Joseph Pace, MD
Cardiovascular Disease (Cardiology)
NPI 1205823838
6001 21ST AVE W
Bradenton, FL 34209
(941) 761-4448
✔ PECOS✔ Accepts Medicare0.1 mi
Thomas Degroat, MD
Cardiovascular Disease (Cardiology)
NPI 1619969359
1400 59TH ST W
Bradenton, FL 34209
(941) 795-2468
✔ PECOS✔ Accepts Medicare0.4 mi
Hugh Liebert, MD
Cardiovascular Disease (Cardiology)
NPI 1063404697
1400 59TH ST W
Bradenton, FL 34209
(941) 795-2468
✔ PECOS0.4 mi
Robert Day, MD
Cardiovascular Disease (Cardiology)
NPI 1639161268
1400 59TH ST W
Bradenton, FL 34209
(941) 795-2468
✔ PECOS0.4 mi
Jagan Akella, MD
Cardiovascular Disease (Cardiology)
NPI 1609917665
6400 MANATEE AVE W STE A
Bradenton, FL 34209
(941) 794-9000
✔ PECOS✔ Accepts Medicare1.0 mi
Thomas Gaines, M.D.
Cardiovascular Disease (Cardiology)
NPI 1679731574
3530 HOUMA BLVD STE 300
Metairie, LA 70006
(504) 264-5142
✔ PECOS490 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 Ekg Panel Of Blake's NPI number?

The NPI number for Ekg Panel Of Blake is 1356733695. It was assigned to this organization in the NPPES registry on February 24, 2015.

Where is Ekg Panel Of Blake located?

Ekg Panel Of Blake is located at 2020 59th St W Blake Medical Center, Bradenton, FL 34209. The listed phone number is (941) 321-2830.

What is Ekg Panel Of Blake's specialty?

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

Is Ekg Panel Of Blake enrolled in Medicare?

Yes. Ekg Panel Of Blake is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ekg Panel Of Blake?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Cardiovascular Disease (Cardiology), reassign their Medicare billing to Ekg Panel Of Blake. 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, 7 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 Ekg Panel Of Blake was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.