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FIRST COAST CARDIOVASCULAR INSTITUTE, LLC
NPI 1841307857
Internal Medicine - Cardiovascular Disease in Jacksonville, FL

Active since August 24, 2006CLIA 10D2094857 · Waiver
7011 A C SKINNER PKWY, SUITE 160, JACKSONVILLE, FL 32256(904) 493-3333(904) 493-2222 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 7, 2025, Jul 26, 2024, Mar 12, 2021 and 1 more (4 updates tracked since 2021).

About First Coast Cardiovascular Institute, Llc NPPES

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

FIRST COAST CARDIOVASCULAR INSTITUTE, LLC (NPI 1841307857) is a healthcare organization registered as a cardiovascular disease in Jacksonville, Florida and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through April 26, 2027, maintains 7 additional practice locations, and lists Yazan Khatib, President, as its authorized official.

NPPES Registry Identity

NPI1841307857
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameFIRST COAST CARDIOVASCULAR INSTITUTE, LLC
Location Address7011 A C SKINNER PKWY, SUITE 160Jacksonville, FL 32256-6954
Mailing AddressPo Box 551308Jacksonville, FL 32255-1308 · (904) 493-3333 · Fax (904) 493-2222
Phone(904) 493-3333
Fax(904) 493-2222
Organization SubpartNo
Authorized OfficialYazan KhatibPresident · (904) 493-3333
Enumeration DateAugust 24, 2006
Last NPPES UpdateJanuary 7, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1841307857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X
Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X
Also ListedSurgeryTaxonomy 208600000X
Also ListedHospitalistTaxonomy 208M00000X
7011 A C SKINNER PKWY, Jacksonville, FL 32256
Open in Google Maps ↗

Secondary Practice Locations 7

Location 15851 Timuquana Rd Ste 204Jacksonville, FL 32210-7898 · Phone (904) 493-3333 · Fax (904) 493-2222
Location 2205 Zeagler Dr Ste 101Palatka, FL 32177-3860 · Phone (386) 325-2836 · Fax (386) 325-2736
Location 3905 Beach Blvd Ste BJacksonville, FL 32250-4303 · Phone (904) 493-3333 · Fax (904) 493-2222
Location 43890 Dunn Ave Ste 203Jacksonville, FL 32218-6428 · Phone (904) 493-3333 · Fax (904) 493-2222
Location 51681 Eagle Harbor Pkwy Ste BFleming Island, FL 32003-4819 · Phone (904) 644-0092 · Fax (904) 644-0099
Location 6115 Bartram Oaks Walk Ste 104Fruit Cove, FL 32259-3247 · Phone (904) 493-3333 · Fax (904) 268-5505
Location 73627 University Blvd S Ste 435Jacksonville, FL 32216-4238 · Phone (904) 724-5000 · Fax (904) 677-4498

Other Identifiers 2

Other34459Bcbs
Medicaid117885400FL

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 Ambetter Health, Ambetter of Alabama, AvMed 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)

First Coast Cardiovascular Institute, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

52

Medicare enrollment records show 52 clinicians reassign Medicare billing to First Coast Cardiovascular Institute, LLC, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Nurse Practitioner22
Interventional Cardiology14
Cardiovascular Disease (Cardiology)7
Cardiac Electrophysiology2
Podiatry2
Critical Care (Intensivists)1
Diagnostic Radiology1
General Surgery1
2 other specialties2

Nearest to this location (20)

See all 52
Steven Bateh, DPM
Podiatry
NPI 1487131108
7011 A C SKINNER PKWY STE 160
Jacksonville, FL 32256
(904) 493-3333
✔ PECOS✔ Accepts MedicareSame address
Sherita Bentley, APRN
Nurse Practitioner
NPI 1801244132
7011 A C SKINNER PKWY SUITE 160
Jacksonville, FL 32256
(904) 493-3333
✔ PECOS✔ Accepts MedicareSame address
Chelsea Blum, NP
Nurse Practitioner
NPI 1356071427
7011 A C SKINNER PKWY
Jacksonville, FL 32256
(904) 493-3333
✔ PECOS✔ Accepts MedicareSame address
Ahmad Tarek Chami, M.D.
Interventional Cardiology
NPI 1730506866
7011 A C SKINNER PKWY
Jacksonville, FL 32256
(904) 493-3333
✔ PECOS✔ Accepts MedicareSame address
Disleidys Chaviano, ARNP, FNP-C
Nurse Practitioner
NPI 1467294710
7011 A C SKINNER PKWY STE 160
Jacksonville, FL 32256
(904) 493-3333
✔ PECOS✔ Accepts MedicareSame address
Nina Hrustic, APRN
Nurse Practitioner
NPI 1124761580
7011 A C SKINNER PKWY STE 160
Jacksonville, FL 32256
(904) 493-3333
✔ PECOS✔ Accepts MedicareSame address
Bruce Krieger, M.D.
Critical Care (Intensivists)
NPI 1194802538
7011 A C SKINNER PKWY STE 160
Jacksonville, FL 32256
(904) 493-3333
✔ PECOS✔ Accepts MedicareSame address
Andrea Richardson, CRNP
Nurse Practitioner
NPI 1023575453
7011 A C SKINNER PKWY STE 160
Jacksonville, FL 32256
(904) 493-3333
✔ PECOS✔ Accepts MedicareSame address
Alan Schimmel, MD
Interventional Cardiology
NPI 1710964671
7011 A C SKINNER PKWY SUITE 160
Jacksonville, FL 32256
(904) 493-3333
✔ PECOS✔ Accepts MedicareSame address
Mubbasher Syed, M.D
Interventional Cardiology
NPI 1295137545
7011 A C SKINNER PKWY STE 160
Jacksonville, FL 32256
(904) 493-3333
✔ PECOS✔ Accepts MedicareSame address
Lucy Walling, APRN
Nurse Practitioner
NPI 1982899449
7011 A C SKINNER PKWY SUITE 160
Jacksonville, FL 32256
(904) 493-3333
✔ PECOS✔ Accepts MedicareSame address
Yesica Gandia Gonzalez
Nurse Practitioner
NPI 1386572881
7011 A C SKINNER PKWY STE 160
Jacksonville, FL 32256
(904) 493-3333
✔ PECOS2.7 mi
Deepak Pasupula, MD, MPH
Cardiac Electrophysiology
NPI 1619382397
7011 A C SKINNER PKWY STE 160
Jacksonville, FL 32256
(904) 493-3333
✔ PECOS✔ Accepts Medicare2.7 mi
Simone Reyes, APRN
Nurse Practitioner
NPI 1558060129
7011 A C SKINNER PKWY STE 160
Jacksonville, FL 32256
(904) 493-3333
✔ PECOS✔ Accepts Medicare2.7 mi
Vaqar Ali, MD
Interventional Cardiology
NPI 1154379048
7011 A C SKINNER PKWY SUITE 160
Jacksonville, FL 32256
(904) 493-3333
✔ PECOS✔ Accepts Medicare3.5 mi
Andrea Deneen, MD
Cardiovascular Disease (Cardiology)
NPI 1679679781
7011 A C SKINNER PKWY SUITE 160
Jacksonville, FL 32256
(904) 493-3333
✔ PECOS✔ Accepts Medicare3.5 mi
Irram Hamdani, M.D
Pulmonary Disease
NPI 1245433952
7011 A C SKINNER PKWY SUITE 160
Jacksonville, FL 32256
(904) 493-3333
✔ PECOS✔ Accepts Medicare3.5 mi
Michael Illovsky, MD
Cardiovascular Disease (Cardiology)
NPI 1023097441
7011 A C SKINNER PKWY SUITE 160
Jacksonville, FL 32256
(904) 493-3333
✔ PECOS✔ Accepts Medicare3.5 mi
David Swain, DPM
Podiatry
NPI 1528228913
7011 A C SKINNER PKWY SUITE 160
Jacksonville, FL 32256
(904) 642-0877
✔ PECOS✔ Accepts Medicare3.5 mi
Daniel Thielemann, MD
Neurology
NPI 1801107255
7011 A C SKINNER PKWY SUITE 160
Jacksonville, FL 32256
(904) 493-3333
✔ PECOS✔ Accepts Medicare3.5 mi
See all 52 clinicians

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 10D2094857

First Coast Cardiovascular Institute, LLC · Orange Park, FL
Active · expires Apr 26, 2027
CLIA Number10D2094857
Laboratory TypePhysician Office
Certificate Effective DateApril 27, 2025
Certificate Expiration DateApril 26, 2027
Laboratory DirectorYazan Khatib
Laboratory Phone(904) 644-0092
Laboratory LocationFirst Coast Cardiovascular Institute, LLC1465 Kingsley Ave, Orange Park, FL 32073
CLIA data matches this NPI record on: Name 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 First Coast Cardiovascular Institute, LLC's NPI number?

The NPI number for First Coast Cardiovascular Institute, LLC is 1841307857. It was assigned to this organization in the NPPES registry on August 24, 2006.

Where is First Coast Cardiovascular Institute, LLC located?

First Coast Cardiovascular Institute, LLC is located at 7011 A C Skinner Pkwy Suite 160, Jacksonville, FL 32256. The listed phone number is (904) 493-3333.

What is First Coast Cardiovascular Institute, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is First Coast Cardiovascular Institute, LLC enrolled in Medicare?

Yes. First Coast Cardiovascular Institute, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through First Coast Cardiovascular Institute, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 52 clinicians in 10 Medicare specialties reassign their Medicare billing to First Coast Cardiovascular Institute, 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. The largest specialties are Nurse Practitioner (22), Interventional Cardiology (14) and Cardiovascular Disease (Cardiology) (7). Of these, 11 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does First Coast Cardiovascular Institute, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2094857) is associated with this NPI, valid through April 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does First Coast Cardiovascular Institute, LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list First Coast Cardiovascular Institute, 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 First Coast Cardiovascular Institute, LLC was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.