INTERVENTIONAL CARDIOLOGY MEDICAL GROUP, INC
NPI 1396719480
Internal Medicine - Cardiovascular Disease in West Hills, CA
About Interventional Cardiology Medical Group, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTERVENTIONAL CARDIOLOGY MEDICAL GROUP, INC (NPI 1396719480) is a healthcare organization registered as a cardiovascular disease in West Hills, California and active in the NPI registry since February 2006. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Lacie Connolly, Director Of Operations & Devlopment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Interventional Cardiology Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Interventional Cardiology Medical Group, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
West Hills, CA 91307
West Hills, CA 91307
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 2
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 05D0963455
Interventional Cardiology Medical Group Inc · West Hills, CACertificate of Waiver 05D2325167
Interventional Cardiology Medical Group, Inc · Thousand Oaks, CAFrequently 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 Interventional Cardiology Medical Group, Inc's NPI number?
The NPI number for Interventional Cardiology Medical Group, Inc is 1396719480. It was assigned to this organization in the NPPES registry on February 15, 2006.
Where is Interventional Cardiology Medical Group, Inc located?
Interventional Cardiology Medical Group, Inc is located at 7301 Medical Center Dr Ste 201, West Hills, CA 91307. The listed phone number is (818) 702-8800.
What is Interventional Cardiology Medical Group, Inc's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Interventional Cardiology Medical Group, Inc enrolled in Medicare?
Yes. Interventional Cardiology Medical Group, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Interventional Cardiology Medical Group, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 5 Medicare specialties reassign their Medicare billing to Interventional Cardiology Medical Group, 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 Cardiovascular Disease (Cardiology) (3), Cardiac Electrophysiology (1) and Internal Medicine (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Interventional Cardiology Medical Group, Inc hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Interventional Cardiology Medical Group, Inc was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Interventional Cardiology Medical Group, Inc · NPI 1396719480
Cardiovascular Disease organization in West Hills, California. Organization record, active in the CMS NPPES registry since February 15, 2006.
## Identity
- **NPI:** 1396719480 (Entity type: Organization)
- **Enumerated:** February 15, 2006
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Lacie Connolly, DIRECTOR OF OPERATIONS & DEVLOPMENT
## Practice location
- **Address:** 7301 MEDICAL CENTER DR STE 201, West Hills, CA 91307-1935
- **Phone:** (818) 702-8800 · **Fax:** (818) 702-0080
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiovascular Disease (Cardiology) (3), Cardiac Electrophysiology (1), Internal Medicine (1); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 7, 2025
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1396719480) · Data from the CMS NPPES public registry.