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FUSION VASCULAR, LLC
NPI 1497224174
Internal Medicine - Interventional Cardiology in Cleveland, MS

Active since November 25, 2018CLIA 25D2161444 · Waiver
800 PEARMAN AVE, CLEVELAND, MS 38732(888) 757-0838(888) 796-1835 Get Directions Write a Review

NPPES record last updated: November 25, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fusion Vascular, Llc NPPES

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

FUSION VASCULAR, LLC (NPI 1497224174) is a healthcare organization registered as an interventional cardiology in Cleveland, Mississippi and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through January 31, 2027 and lists Foluso Fakorede, President, as its authorized official.

NPPES Registry Identity

NPI1497224174
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameFUSION VASCULAR, LLC
Location Address800 PEARMAN AVECleveland, MS 38732-3502
Mailing Address3001 Palm Harbor Blvd Ste APalm Harbor, FL 34683-1930 · (727) 474-0090 · Fax (727) 474-0055
Phone(888) 757-0838
Fax(888) 796-1835
Organization SubpartNo
Authorized OfficialFoluso FakoredePresident · (888) 757-0838
Enumeration DateNovember 25, 2018
✔ NPI 1497224174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
800 PEARMAN AVE, Cleveland, MS 38732
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.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)

Fusion Vascular, Llc 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 Fusion Vascular, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Foluso Fakorede, MD
Interventional Cardiology
NPI 1679730329
800 N PEARMAN AVE
Cleveland, MS 38732
(888) 757-0838
✔ 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 25D2161444

Fusion Vascular, LLC · Cleveland, MS
Active · expires Jan 31, 2027
CLIA Number25D2161444
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorDr. Faluso A. Fakorede
Laboratory Phone(662) 545-5238
Laboratory LocationFusion Vascular, LLC800 N Pearman Avenue, Cleveland, MS 38732
CLIA data matches this NPI record on: Name
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 Fusion Vascular, LLC's NPI number?

The NPI number for Fusion Vascular, LLC is 1497224174. It was assigned to this organization in the NPPES registry on November 25, 2018.

Where is Fusion Vascular, LLC located?

Fusion Vascular, LLC is located at 800 Pearman Ave, Cleveland, MS 38732. The listed phone number is (888) 757-0838.

What is Fusion Vascular, LLC's specialty?

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

Is Fusion Vascular, LLC enrolled in Medicare?

Yes. Fusion Vascular, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fusion Vascular, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Cardiology) reassigns their Medicare billing to Fusion Vascular, LLC. 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 Fusion Vascular, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2161444) is associated with this NPI, valid through January 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fusion Vascular, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Fusion Vascular, LLC 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 Fusion Vascular, LLC was last updated on November 25, 2018. 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.