CARDIOVASCULAR SERVICE ASSOCIATES
NPI 1396799862
Internal Medicine - Cardiovascular Disease in Chicago, IL

Active since May 20, 2006CLIA 14D2260155 · Waiver
7425 W IRVING PARK RD, CHICAGO, IL 60634(773) 585-7505(773) 585-7507 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 28, 2019, Nov 9, 2016 (2 updates tracked since 2016).

About Cardiovascular Service Associates NPPES

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

CARDIOVASCULAR SERVICE ASSOCIATES (NPI 1396799862) is a healthcare organization registered as a cardiovascular disease in Chicago, Illinois and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through May 15, 2028, maintains 2 additional practice locations, and lists Bohdan Fedirko, Owner, as its authorized official.

NPPES Registry Identity

NPI1396799862
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameCARDIOVASCULAR SERVICE ASSOCIATES
Location Address7425 W IRVING PARK RDChicago, IL 60634-2139
Mailing AddressPo Box 388309Chicago, IL 60638-8309 · (773) 585-7505 · Fax (773) 585-7507
Fax(773) 585-7507
Organization SubpartNo
Authorized OfficialBohdan FedirkoOwner · (773) 585-7505
Enumeration DateMay 20, 2006
Last NPPES UpdateJanuary 28, 20192 updates tracked since enumeration
✔ NPI 1396799862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedInternal MedicineTaxonomy 207R00000X
7425 W IRVING PARK RD, Chicago, IL 60634

Secondary Practice Locations 2

Location 15838 S Harlem AveSummit, IL 60501-1407 · Phone (773) 585-7505
Location 24201 W 95th StOak Lawn, IL 60453-2615 · Phone (773) 585-7505

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cardiovascular Service Associates 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 Cardiovascular Service Associates, which bills Medicare for the services this clinician delivers.

Clinician (1)

Cardiovascular Disease (Cardiology)
NPI 1033163563
5255 S CICERO AVE
Chicago, IL 60632
(773) 585-7505
✔ PECOS✔ Accepts Medicare11 mi

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 14D2260155

Cardiovascular Service Associates · Summit, IL
Active · expires May 15, 2028
CLIA Number14D2260155
Laboratory TypePhysician Office
Certificate Effective DateMay 16, 2026
Certificate Expiration DateMay 15, 2028
Laboratory DirectorBohdan Fedirko
Laboratory Phone(773) 585-7505
Laboratory LocationCardiovascular Service Associates5838 S Harlem Ave, Summit, IL 60501
CLIA data matches this NPI record on: Address 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 Cardiovascular Service Associates's NPI number?

The NPI number for Cardiovascular Service Associates is 1396799862. It was assigned to this organization in the NPPES registry on May 20, 2006.

Where is Cardiovascular Service Associates located?

Cardiovascular Service Associates is located at 7425 W Irving Park Rd, Chicago, IL 60634. The listed phone number is (773) 585-7505.

What is Cardiovascular Service Associates's specialty?

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

Is Cardiovascular Service Associates enrolled in Medicare?

Yes. Cardiovascular Service Associates is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cardiovascular Service Associates?

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

Does Cardiovascular Service Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2260155) is associated with this NPI, valid through May 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cardiovascular Service Associates was last updated on January 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.