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LIFETIME CARDIOVASCULAR, PLC
NPI 1356771661
Internal Medicine - Interventional Cardiology in Chandler, AZ

Active since November 22, 2013
2100 E YEAGER DR, CHANDLER, AZ 85286(480) 699-5536(480) 699-9283 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lifetime Cardiovascular, Plc NPPES

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

LIFETIME CARDIOVASCULAR, PLC (NPI 1356771661) is a healthcare organization registered as an interventional cardiology in Chandler, Arizona and active in the NPI registry since November 2013. The organization maintains 2 additional practice locations and lists Gautam Kedia, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1356771661
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameLIFETIME CARDIOVASCULAR, PLC
Location Address2100 E YEAGER DRChandler, AZ 85286-1598
Mailing Address2487 S Gilbert Rd Ste 106-486Gilbert, AZ 85295-8899 · (480) 699-5536 · Fax (480) 699-9283
Phone(480) 699-5536
Fax(480) 699-9283
Organization SubpartNo
Authorized OfficialGautam KediaOwner/physician · (480) 699-5536
Enumeration DateNovember 22, 2013
Last NPPES UpdateMarch 9, 2026
NPPES CertifiedMarch 9, 2026
✔ NPI 1356771661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 44342 (AZ)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X
2100 E YEAGER DR, Chandler, AZ 85286
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13011 S Lindsay Rd Ste 105Gilbert, AZ 85295-4333 · Phone (480) 699-5536 · Fax (480) 699-9283
Location 2895 S Dobson Rd Ste 1Chandler, AZ 85224-5721 · Phone (480) 699-5536 · Fax (480) 699-9283

Other Identifiers 1

Medicaid872220AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.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)

Lifetime Cardiovascular, Plc 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 Lifetime Cardiovascular, Plc, which bills Medicare for the services they deliver. Of these, 8 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Faisal Bahadur, M.D.
Cardiovascular Disease (Cardiology)
NPI 1144421355
2100 E YEAGER DR
Chandler, AZ 85286
(480) 699-5536
✔ PECOS✔ Accepts MedicareSame address
Prakash Balan, M.D.
Interventional Cardiology
NPI 1285830661
2100 E YEAGER DR
Chandler, AZ 85286
(480) 699-5536
✔ PECOS✔ Accepts MedicareSame address
Marissa Chase, AGACNP-BC
Nurse Practitioner
NPI 1093332082
2100 E YEAGER DR
Chandler, AZ 85286
(480) 699-5536
✔ PECOSSame address
Abhishek Sawant, M.D.
Interventional Cardiology
NPI 1295990570
2100 E YEAGER DR
Chandler, AZ 85286
(480) 699-5536
✔ PECOS✔ Accepts MedicareSame address
Gautam Kedia, M.D.
Cardiovascular Disease (Cardiology)
NPI 1518179373
2100 E YEAGER DR
Chandler, AZ 85286
(480) 699-5536
✔ PECOS✔ Accepts MedicareSame address
Bashar Markabawi, MD
Interventional Cardiology
NPI 1518968429
2100 E YEAGER DR
Chandler, AZ 85286
(480) 699-5536
✔ PECOS✔ Accepts MedicareSame address
Jon Stevenson, MD
Interventional Cardiology
NPI 1649255241
2100 E YEAGER DR
Chandler, AZ 85286
(480) 699-5536
✔ PECOS✔ Accepts MedicareSame address
Lauren Woffinden, NP
Nurse Practitioner
NPI 1710280847
2100 E YEAGER DR
Chandler, AZ 85286
(480) 699-5536
✔ PECOSSame address

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 Lifetime Cardiovascular, Plc's NPI number?

The NPI number for Lifetime Cardiovascular, Plc is 1356771661. It was assigned to this organization in the NPPES registry on November 22, 2013.

Where is Lifetime Cardiovascular, Plc located?

Lifetime Cardiovascular, Plc is located at 2100 E Yeager Dr, Chandler, AZ 85286. The listed phone number is (480) 699-5536.

What is Lifetime Cardiovascular, Plc's specialty?

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

Is Lifetime Cardiovascular, Plc enrolled in Medicare?

Yes. Lifetime Cardiovascular, Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifetime Cardiovascular, Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Lifetime Cardiovascular, Plc. 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 Interventional Cardiology (4), Cardiovascular Disease (Cardiology) (2) and Nurse Practitioner (2). Of these, 8 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lifetime Cardiovascular, Plc accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Lifetime Cardiovascular, Plc 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 Lifetime Cardiovascular, Plc was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.