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CARDIAC RENAL & VASCULAR ASSOCIATES PC
NPI 1649555467
Internal Medicine - Interventional Cardiology in Jackson, MS

Active since October 12, 2011
5240 ROBINSON ROAD EXT, JACKSON, MS 39204(601) 398-0904(601) 398-2149 Get Directions Write a Review

NPPES record last updated: December 11, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Cardiac Renal & Vascular Associates Pc NPPES

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

CARDIAC RENAL & VASCULAR ASSOCIATES PC (NPI 1649555467) is a healthcare organization registered as an interventional cardiology in Jackson, Mississippi and active in the NPI registry since October 2011. The organization lists Olurotimi John Badero, Registered Agent, as its authorized official.

NPPES Registry Identity

NPI1649555467
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameCARDIAC RENAL & VASCULAR ASSOCIATES PC
Location Address5240 ROBINSON ROAD EXTJackson, MS 39204-4276
Mailing Address5240 Robinson Road ExtJackson, MS 39204-4276 · (601) 398-0904 · Fax (601) 398-2149
Phone(601) 398-0904
Fax(601) 398-2149
Organization SubpartNo
Authorized OfficialOlurotimi John BaderoRegistered Agent · (601) 750-5736
Enumeration DateOctober 12, 2011
Last NPPES UpdateDecember 11, 2013
✔ NPI 1649555467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in MS · 21527
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.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 21527 (MS)
5240 ROBINSON ROAD EXT, Jackson, MS 39204
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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 Renal & Vascular Associates Pc 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 Cardiac Renal & Vascular Associates PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Olurotimi Badero, MD
Cardiovascular Disease (Cardiology)
NPI 1548423114
5240 ROBINSON RD
Jackson, MS 39204
(601) 398-0904
✔ 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.

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 Cardiac Renal & Vascular Associates PC's NPI number?

The NPI number for Cardiac Renal & Vascular Associates PC is 1649555467. It was assigned to this organization in the NPPES registry on October 12, 2011.

Where is Cardiac Renal & Vascular Associates PC located?

Cardiac Renal & Vascular Associates PC is located at 5240 Robinson Road Ext, Jackson, MS 39204. The listed phone number is (601) 398-0904.

What is Cardiac Renal & Vascular Associates PC's specialty?

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

Is Cardiac Renal & Vascular Associates PC enrolled in Medicare?

Yes. Cardiac Renal & Vascular Associates PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cardiac Renal & Vascular Associates PC?

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

What insurance does Cardiac Renal & Vascular Associates PC accept?

Health plans from Molina Healthcare list Cardiac Renal & Vascular Associates PC 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 Renal & Vascular Associates PC was last updated on December 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.