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LONGBOAT CARDIOLOGY PA
NPI 1790882900
Specialist in Longboat Key, FL

Active since September 20, 2006CLIA 10D0998162 · Waiver
5650 GULF OF MEXICO DR, LONGBOAT KEY, FL 34228(941) 383-7300(941) 383-7335 Get Directions Write a Review

NPPES record last updated: May 14, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Longboat Cardiology Pa NPPES

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

LONGBOAT CARDIOLOGY PA (NPI 1790882900) is a healthcare organization registered as a specialist in Longboat Key, Florida and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 7, 2028 and lists Colleen Mary Healy, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1790882900
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLONGBOAT CARDIOLOGY PA
Location Address5650 GULF OF MEXICO DRLongboat Key, FL 34228-1906
Mailing Address5650 Gulf Of Mexico DrLongboat Key, FL 34228-1906 · (941) 383-7300 · Fax (941) 383-7335
Phone(941) 383-7300
Fax(941) 383-7335
Organization SubpartNo
Authorized OfficialColleen Mary HealyOwner/physician · (941) 383-7300
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMay 14, 2010
✔ NPI 1790882900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME51094
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5650 GULF OF MEXICO DR, Longboat Key, FL 34228
Open in Google Maps ↗

Other Identifiers 3

Medicaid064203700FL
Medicare UPINE52032FL
Medicare ID-Type Unspecified10903AFL

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Longboat Cardiology Pa 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 Longboat Cardiology PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Colleen Healy, M.D.
Cardiovascular Disease (Cardiology)
NPI 1699716472
5650 GULF OF MEXICO DR
Longboat Key, FL 34228
(941) 383-7300
✔ 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 10D0998162

Longboard Cardiology · Longboat Key, FL
Active · expires Apr 7, 2028
CLIA Number10D0998162
Laboratory TypePhysician Office
Certificate Effective DateApril 8, 2026
Certificate Expiration DateApril 7, 2028
Laboratory DirectorColleen M. Healy
Laboratory Phone(941) 383-7300
Laboratory LocationLongboard Cardiology5650 Gulf Of Mexico Dr, Longboat Key, FL 34228
CLIA data matches this NPI record on: Address 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 Longboat Cardiology PA's NPI number?

The NPI number for Longboat Cardiology PA is 1790882900. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Longboat Cardiology PA located?

Longboat Cardiology PA is located at 5650 Gulf Of Mexico Dr, Longboat Key, FL 34228. The listed phone number is (941) 383-7300.

What is Longboat Cardiology PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Longboat Cardiology PA enrolled in Medicare?

Yes. Longboat Cardiology PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Longboat Cardiology PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Longboat Cardiology 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Longboat Cardiology PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0998162) is associated with this NPI, valid through April 7, 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 Longboat Cardiology PA was last updated on May 14, 2010. 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.