NACOGDOCHES CARDIAC CENTER, P.A.
NPI 1437160777
Nuclear Medicine - Nuclear Cardiology in Nacogdoches, TX

Active since August 11, 2006CLIA 45D1064803 · Waiver
1023 N MOUND ST, SUITE K, NACOGDOCHES, TX 75961(936) 564-2099(936) 564-2083 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Nacogdoches Cardiac Center, P.a. NPPES

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

NACOGDOCHES CARDIAC CENTER, P.A. (NPI 1437160777) is a healthcare organization registered as a nuclear cardiology in Nacogdoches, Texas and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through February 13, 2027 and lists Vijaya R Pokala, President, as its authorized official.

NPPES Registry Identity

NPI1437160777
Entity TypeOrganization
Primary Taxonomy207UN0901X
Legal Business NameNACOGDOCHES CARDIAC CENTER, P.A.
Location Address1023 N MOUND ST, SUITE KNacogdoches, TX 75961-4491
Mailing Address1023 N Mound St, Suite KNacogdoches, TX 75961-4491 · (936) 564-2099 · Fax (936) 564-2083
Fax(936) 564-2083
Organization SubpartNo
Authorized OfficialVijaya R PokalaPresident · (936) 564-2099
Enumeration DateAugust 11, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1437160777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNuclear Medicine · Nuclear CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207UN0901X
License✔ Licensed in TX · L05982
Definition
A nuclear medicine physician who specializes in nuclear cardiology.
Also ListedInternal MedicineTaxonomy 207R00000X · License H6917 (TX)
1023 N MOUND ST, Nacogdoches, TX 75961

Other Identifiers 1

Medicaid179845601TX

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)

Nacogdoches Cardiac Center, P.a. 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 Nacogdoches Cardiac Center, P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Cardiovascular Disease (Cardiology)
NPI 1205847522
1023 N MOUND ST SUITE K
Nacogdoches, TX 75961
(936) 564-2099
✔ PECOS✔ Accepts MedicareSame address

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 45D1064803

Nacogdoches Cardiac Center, PA · Nacogdoches, TX
Active · expires Feb 13, 2027
CLIA Number45D1064803
Laboratory TypePhysician Office
Certificate Effective DateFebruary 14, 2025
Certificate Expiration DateFebruary 13, 2027
Laboratory DirectorVijaya R. Pokala
Laboratory Phone(936) 564-2099
Laboratory LocationNacogdoches Cardiac Center, PA1023 N Mound St Ste K, Nacogdoches, TX 75961
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 Nacogdoches Cardiac Center, P.A.'s NPI number?

The NPI number for Nacogdoches Cardiac Center, P.A. is 1437160777. It was assigned to this organization in the NPPES registry on August 11, 2006.

Where is Nacogdoches Cardiac Center, P.A. located?

Nacogdoches Cardiac Center, P.A. is located at 1023 N Mound St Suite K, Nacogdoches, TX 75961. The listed phone number is (936) 564-2099.

What is Nacogdoches Cardiac Center, P.A.'s specialty?

The primary specialty registered for this NPI is Nuclear Medicine, specializing in Nuclear Cardiology, with taxonomy code 207UN0901X.

Is Nacogdoches Cardiac Center, P.A. enrolled in Medicare?

Yes. Nacogdoches Cardiac Center, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nacogdoches Cardiac Center, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Nacogdoches Cardiac Center, P.A.. 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 Nacogdoches Cardiac Center, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1064803) is associated with this NPI, valid through February 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nacogdoches Cardiac Center, P.A. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.