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CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES PA
NPI 1851403125
Radiology - Vascular & Interventional Radiology in Jacksonville, FL

Active since August 31, 2006CLIA Certified · 2 labs
1824 KING ST, STE 200, JACKSONVILLE, FL 32204(904) 384-3343(904) 400-6671 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 20, 2024, Nov 23, 2022, Mar 13, 2019 and 2 more (5 updates tracked since 2018).

About Cardiothoracic & Vascular Surgical Associates Pa NPPES

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

CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES PA (NPI 1851403125) is a healthcare organization registered as a vascular & interventional radiology in Jacksonville, Florida and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists Larry Taylor, President, as its authorized official.

NPPES Registry Identity

NPI1851403125
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameCARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES PA
Location Address1824 KING ST, STE 200Jacksonville, FL 32204-4735
Mailing Address1824 King St, Ste 200Jacksonville, FL 32204-4735 · (904) 384-3343 · Fax (904) 400-6671
Phone(904) 384-3343
Fax(904) 400-6671
Organization SubpartNo
Authorized OfficialLarry TaylorPresident · (052) 790-1732
Enumeration DateAugust 31, 2006
Last NPPES UpdateApril 17, 20255 updates tracked since enumeration
NPPES CertifiedApril 17, 2025
✔ NPI 1851403125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedPhlebologyTaxonomy 202K00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedSurgeryTaxonomy 208600000X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1824 KING ST, Jacksonville, FL 32204
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Other Identifiers 2

Medicaid251834100FL
OtherCC8211Medicare Railroad

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)

Cardiothoracic & Vascular Surgical Associates Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

102

Medicare enrollment records show 102 clinicians reassign Medicare billing to Cardiothoracic & Vascular Surgical Associates PA, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 26 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Nurse Practitioner37
Vascular Surgery34
Thoracic Surgery13
Cardiac Surgery5
Cardiovascular Disease (Cardiology)5
Interventional Radiology3
Diagnostic Radiology2
Emergency Medicine1
2 other specialties2

Nearest to this location (20)

See all 102
Sara Clark, MD
Vascular Surgery
NPI 1972795755
1824 KING ST STE 200
Jacksonville, FL 32204
(904) 384-3343
✔ PECOS✔ Accepts MedicareSame address
Candace Gordon, APRN
Nurse Practitioner
NPI 1518530427
1824 KING ST STE 200
Jacksonville, FL 32204
(904) 384-3343
✔ PECOS✔ Accepts MedicareSame address
Richard Proia, MD
Cardiac Surgery
NPI 1902880826
1824 KING ST STE 200
Jacksonville, FL 32204
(904) 384-3343
✔ PECOS✔ Accepts MedicareSame address
William Sorrells, MD
Vascular Surgery
NPI 1962856849
1824 KING ST STE 200
Jacksonville, FL 32204
(904) 384-3343
✔ PECOS✔ Accepts MedicareSame address
Chadwick Stouffer, MD
Thoracic Surgery
NPI 1073737656
1824 KING ST STE 200
Jacksonville, FL 32204
(904) 384-3343
✔ PECOS✔ Accepts MedicareSame address
Mark Mostovych, MD
Thoracic Surgery
NPI 1043212269
1824 KING ST STE 200
Jacksonville, FL 32204
(904) 384-3343
✔ PECOSSame address
John Pirris, M.D.
Thoracic Surgery
NPI 1215939400
1824 KING ST STE 200
Jacksonville, FL 32204
(904) 384-3343
✔ PECOS✔ Accepts MedicareSame address
Raymond Lee, MD
Cardiac Surgery
NPI 1407858749
1824 KING ST STE 200
Jacksonville, FL 32204
(904) 384-3343
✔ PECOSSame address
Troy Tyler, DO
Vascular Surgery
NPI 1982125076
1824 KING ST STE 200
Jacksonville, FL 32204
(904) 384-3343
✔ PECOS✔ Accepts MedicareSame address
P Cohen, M.D.
Thoracic Surgery
NPI 1306063656
1824 KING ST STE 200
Jacksonville, FL 32204
(904) 384-3343
✔ PECOS✔ Accepts MedicareSame address
Jon Allmon, MD
Vascular Surgery
NPI 1831174044
1000 RIVERSIDE AVE STE 200
Jacksonville, FL 32204
(904) 394-5347
✔ PECOS✔ Accepts Medicare0.9 mi
Kristin Marshall, DNP
Nurse Practitioner
NPI 1215335724
1000 RIVERSIDE AVE STE 200
Jacksonville, FL 32204
(904) 388-7521
✔ PECOS✔ Accepts Medicare0.9 mi
Jena Snipes, ARNP
Nurse Practitioner
NPI 1396110581
1000 RIVERSIDE AVE STE 200
Jacksonville, FL 32204
(904) 394-5347
✔ PECOS✔ Accepts Medicare0.9 mi
Melanie Wilson, DNP-ARNP
Nurse Practitioner
NPI 1801266754
1000 RIVERSIDE AVE STE 200
Jacksonville, FL 32204
(904) 388-7521
✔ PECOS✔ Accepts Medicare0.9 mi
Nathan Bates, MD
Cardiovascular Disease (Cardiology)
NPI 1235192733
836 PRUDENTIAL DR STE 1804
Jacksonville, FL 32207
(904) 398-3888
✔ PECOS✔ Accepts Medicare1.8 mi
Peter Bolan, MD
Thoracic Surgery
NPI 1174502314
836 PRUDENTIAL DRIVE, STE 1804
Jacksonville, FL 32207
(904) 398-3888
✔ PECOS✔ Accepts Medicare1.8 mi
Erin Moore, MD
Vascular Surgery
NPI 1033119037
836 PRUDENTIAL DR STE 1804
Jacksonville, FL 32207
(904) 398-3888
✔ PECOS✔ Accepts Medicare1.8 mi
Daniel Steadman, D.O.
Vascular Surgery
NPI 1477084812
655 W 8TH ST BOX FC12
Jacksonville, FL 32209
(904) 244-3903
✔ PECOS✔ Accepts Medicare3.3 mi
Ryan Abbaszadeh, MD
Thoracic Surgery
NPI 1730508714
3627 UNIVERSITY BLVD S STE 135
Jacksonville, FL 32216
(904) 398-8147
✔ PECOS✔ Accepts Medicare5.6 mi
Adil Khan, MD
Vascular Surgery
NPI 1417210717
3627 UNIVERSITY BLVD S STE 135
Jacksonville, FL 32216
(904) 398-8147
✔ PECOS✔ Accepts Medicare5.6 mi
See all 102 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 3

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 10D1005975

Cardiothoracic & Vascular Surgical Associates · Jacksonville, FL
Active · expires Nov 4, 2026
CLIA Number10D1005975
Laboratory TypePhysician Office
Certificate Effective DateNovember 5, 2024
Certificate Expiration DateNovember 4, 2026
Laboratory DirectorShelia Barnes
Laboratory Phone(904) 384-3343
Laboratory LocationCardiothoracic & Vascular Surgical Associates1824 King St # 200, Jacksonville, FL 32204
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2177462

Cardiothoracic Vascular Surgical Associates PA · Jacksonville, FL
Active · expires Jan 12, 2028
CLIA Number10D2177462
Laboratory TypePhysician Office
Certificate Effective DateJanuary 13, 2026
Certificate Expiration DateJanuary 12, 2028
Laboratory DirectorDr. Sara Clark
Laboratory Phone(904) 384-3343
Laboratory LocationCardiothoracic Vascular Surgical Associates PA8767 Perimeter Park Blvd, Jacksonville, FL 32216
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1005111

Cardiothoracic & Vascular Surgical Associates PA · Jacksonville, FL
Expired · Oct 14, 2026
CLIA Number10D1005111
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorLeslie Sands
Laboratory Phone(904) 384-3343
Laboratory LocationCardiothoracic & Vascular Surgical Associates PA1824 King St Ste 200, Jacksonville, FL 32204
CLIA data matches this NPI record on: Address 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 Cardiothoracic & Vascular Surgical Associates PA's NPI number?

The NPI number for Cardiothoracic & Vascular Surgical Associates PA is 1851403125. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Cardiothoracic & Vascular Surgical Associates PA located?

Cardiothoracic & Vascular Surgical Associates PA is located at 1824 King St Ste 200, Jacksonville, FL 32204. The listed phone number is (904) 384-3343.

What is Cardiothoracic & Vascular Surgical Associates PA's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Cardiothoracic & Vascular Surgical Associates PA enrolled in Medicare?

Yes. Cardiothoracic & Vascular Surgical Associates PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cardiothoracic & Vascular Surgical Associates PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 102 clinicians in 10 Medicare specialties reassign their Medicare billing to Cardiothoracic & Vascular Surgical Associates 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 Nurse Practitioner (37), Vascular Surgery (34) and Thoracic Surgery (13). Of these, 10 practice at this address and 26 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cardiothoracic & Vascular Surgical Associates PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Cardiothoracic & Vascular Surgical Associates PA accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Capital Health Plan and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Cardiothoracic & Vascular Surgical Associates PA 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 Cardiothoracic & Vascular Surgical Associates PA was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.