MIDCOAST CARDIOVASCULAR ASSOCIATES
NPI 1659652303
Internal Medicine - Interventional Cardiology in Santa Maria, CA

Active since September 07, 2011CLIA 05D2043749 · Waiver
220 S PALISADE DR, SUITE # 101, SANTA MARIA, CA 93454(805) 354-0112(805) 354-0234 Get Directions Write a Review

NPPES record last updated: March 1, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Midcoast Cardiovascular Associates NPPES

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

MIDCOAST CARDIOVASCULAR ASSOCIATES (NPI 1659652303) is a healthcare organization registered as an interventional cardiology in Santa Maria, California and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through July 9, 2028 and lists Mark L Ginkel, President, as its authorized official.

NPPES Registry Identity

NPI1659652303
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameMIDCOAST CARDIOVASCULAR ASSOCIATES
Location Address220 S PALISADE DR, SUITE # 101Santa Maria, CA 93454-8902
Mailing Address220 S Palisade Dr, Suite # 101Santa Maria, CA 93454-8902 · (805) 354-0112 · Fax (805) 354-0234
Fax(805) 354-0234
Organization SubpartNo
Authorized OfficialMark L GinkelPresident · (805) 354-0112
Enumeration DateSeptember 7, 2011
Last NPPES UpdateMarch 1, 2016
✔ NPI 1659652303 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 CA · G71322
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 · Cardiovascular DiseaseTaxonomy 207RC0000X · License G71322 (CA)
220 S PALISADE DR, Santa Maria, CA 93454

Other Identifiers 2

OtherZZZ68791YCA · Blue Shield Pin
OtherFM385ACA · Medicare Ptan

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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Midcoast Cardiovascular Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20111024000126Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Midcoast Cardiovascular Associates, which bills Medicare for the services this clinician delivers.

Clinician (1)

Cardiovascular Disease (Cardiology)
NPI 1649272766
220 S PALISADE DR SUITE # 101
Santa Maria, CA 93454
(805) 354-0112
✔ PECOS✔ Accepts Medicare0.2 mi

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 05D2043749

Midcoast Cardiovasclar Associates · Santa Maria, CA
Active · expires Jul 9, 2028
CLIA Number05D2043749
Laboratory TypePhysician Office
Certificate Effective DateJuly 10, 2026
Certificate Expiration DateJuly 9, 2028
Laboratory DirectorMark L. Ginkel
Laboratory Phone(805) 354-0112
Laboratory LocationMidcoast Cardiovasclar Associates220 S Palisades Dr Ste 101, Santa Maria, CA 93454
CLIA data matches this NPI record on: 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 Midcoast Cardiovascular Associates's NPI number?

The NPI number for Midcoast Cardiovascular Associates is 1659652303. It was assigned to this organization in the NPPES registry on September 7, 2011.

Where is Midcoast Cardiovascular Associates located?

Midcoast Cardiovascular Associates is located at 220 S Palisade Dr Suite # 101, Santa Maria, CA 93454. The listed phone number is (805) 354-0112.

What is Midcoast Cardiovascular Associates's specialty?

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

Is Midcoast Cardiovascular Associates enrolled in Medicare?

Yes. Midcoast Cardiovascular Associates is registered in the Medicare PECOS enrollment system.

When is Midcoast Cardiovascular Associates'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 (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. 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 Midcoast Cardiovascular Associates?

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

Yes. A Certificate of Waiver (number 05D2043749) is associated with this NPI, valid through July 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Midcoast Cardiovascular Associates was last updated on March 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.