PUTNAM HEART CENTER PA
NPI 1598878670
Internal Medicine - Cardiovascular Disease in Palatka, FL
About Putnam Heart Center Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PUTNAM HEART CENTER PA (NPI 1598878670) is a healthcare organization registered as a cardiovascular disease in Palatka, Florida and active in the NPI registry since August 2006. The organization holds an CLIA Accreditation certificate valid through May 15, 2027 and lists Mukesh Goel, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Putnam Heart Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Putnam Heart Center PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 Accreditation 10D0991646
Putnam Heart Center PA · Palatka, 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 Putnam Heart Center PA's NPI number?
The NPI number for Putnam Heart Center PA is 1598878670. It was assigned to this organization in the NPPES registry on August 16, 2006.
Where is Putnam Heart Center PA located?
Putnam Heart Center PA is located at 6710 Old Wolf Bay Rd, Palatka, FL 32177. The listed phone number is (386) 326-1590.
What is Putnam Heart Center PA's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Putnam Heart Center PA enrolled in Medicare?
Yes. Putnam Heart Center PA is registered in the Medicare PECOS enrollment system.
When is Putnam Heart Center PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Putnam Heart Center PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Putnam Heart Center PA. 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) and Interventional Cardiology (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Putnam Heart Center PA hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 10D0991646) is associated with this NPI, valid through May 15, 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 Putnam Heart Center PA was last updated on December 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Putnam Heart Center Pa · NPI 1598878670
Cardiovascular Disease organization in Palatka, Florida. Organization record, active in the CMS NPPES registry since August 16, 2006.
## Identity
- **NPI:** 1598878670 (Entity type: Organization)
- **Enumerated:** August 16, 2006
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Mukesh Goel, OWNER
## Practice location
- **Address:** 6710 OLD WOLF BAY RD, Palatka, FL 32177-6830
- **Phone:** (386) 326-1590 · **Fax:** (386) 326-1591
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiovascular Disease (Cardiology) (3), Interventional Cardiology (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 15, 2009
- **Other identifiers:** Medicare PIN K2374 (FL); Medicare UPIN F23749 (FL); Medicaid 264957800 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1598878670) · Data from the CMS NPPES public registry.