CARDIAC CLINIC, M.D., P.A.
NPI 1457319329
Internal Medicine - Interventional Cardiology in Kissimmee, FL
About Cardiac Clinic, M.d., P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARDIAC CLINIC, M.D., P.A. (NPI 1457319329), doing business as Cardiac Clinic, is a healthcare organization registered as an interventional cardiology in Kissimmee, Florida and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 17, 2028, maintains 3 additional practice locations, and lists Padma K Raju, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Secondary Practice Locations 3
Accepted 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)
Cardiac Clinic, M.d., P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Cardiac Clinic, M.D., P.A., which bills Medicare for the services they deliver. Of these, 8 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (11)
Kissimmee, FL 34741
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 10D0942834
Cardiac Clinic · Kissimmee, FLFrequently 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 Cardiac Clinic, M.D., P.A.'s NPI number?
The NPI number for Cardiac Clinic, M.D., P.A. is 1457319329. It was assigned to this organization in the NPPES registry on May 2, 2006. The provider is doing business as Cardiac Clinic.
Where is Cardiac Clinic, M.D., P.A. located?
Cardiac Clinic, M.D., P.A. is located at 311 W Oak St, Kissimmee, FL 34741. The listed phone number is (407) 933-1423.
What is Cardiac Clinic, M.D., P.A.'s specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.
Is Cardiac Clinic, M.D., P.A. enrolled in Medicare?
Yes. Cardiac Clinic, M.D., P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cardiac Clinic, M.D., P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 4 Medicare specialties reassign their Medicare billing to Cardiac Clinic, M.D., 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. The largest specialties are Cardiovascular Disease (Cardiology) (4), Interventional Cardiology (3) and Cardiac Electrophysiology (2). Of these, 8 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Cardiac Clinic, M.D., P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D0942834) is associated with this NPI, valid through March 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Cardiac Clinic, M.D., P.A. accept?
Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Cardiac Clinic, M.D., P.A. 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 Cardiac Clinic, M.D., P.A. was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.
# Cardiac Clinic, M.d., P.a. · NPI 1457319329
Interventional Cardiology organization in Kissimmee, Florida. Organization record, active in the CMS NPPES registry since May 2, 2006.
## Identity
- **NPI:** 1457319329 (Entity type: Organization)
- **Enumerated:** May 2, 2006
- **Primary specialty:** Internal Medicine - Interventional Cardiology · taxonomy 207RI0011X
- **Also known as:** CARDIAC CLINIC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Padma Raju, PRESIDENT
## Practice location
- **Address:** 311 W OAK ST, Kissimmee, FL 34741-4421
- **Phone:** (407) 933-1423 · **Fax:** (407) 933-7901
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiovascular Disease (Cardiology) (4), Interventional Cardiology (3), Cardiac Electrophysiology (2); 8 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1457319329) · Data from the CMS NPPES public registry.