GLENDALE INTERNAL MEDICINE AND CARDIOLOGY MEDICAL GROUP, INC
NPI 1912963364
Internal Medicine - Cardiovascular Disease in Glendale, CA

Active since April 25, 2006
500 N CENTRAL AVE STE 800, GLENDALE, CA 91203(818) 242-4191(818) 242-4811 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Glendale Internal Medicine And Cardiology Medical Group, Inc NPPES

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

GLENDALE INTERNAL MEDICINE AND CARDIOLOGY MEDICAL GROUP, INC (NPI 1912963364) is a healthcare organization registered as a cardiovascular disease in Glendale, California and active in the NPI registry since April 2006. The organization lists Amir Sadrzadeh Rafie, President, as its authorized official.

NPPES Registry Identity

NPI1912963364
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameGLENDALE INTERNAL MEDICINE AND CARDIOLOGY MEDICAL GROUP, INC
Location Address500 N CENTRAL AVE STE 800Glendale, CA 91203-3345
Mailing Address500 N Central Ave Ste 800Glendale, CA 91203-3345 · (818) 242-4191 · Fax (818) 242-4811
Fax(818) 242-4811
Organization SubpartNo
Authorized OfficialAmir Sadrzadeh RafiePresident · (818) 242-4191
Enumeration DateApril 25, 2006
Last NPPES UpdateJuly 18, 2023
NPPES CertifiedJuly 18, 2023
✔ NPI 1912963364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
500 N CENTRAL AVE STE 800, Glendale, CA 91203

Other Identifiers 1

MedicaidZZZ77955ZCA

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)

Glendale Internal Medicine And Cardiology Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

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 IDO20040819000479Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Glendale Internal Medicine And Cardiology Medical Group, Inc, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Interventional Cardiology
NPI 1508031949
500 NORTH CENTRAL AVE SUITE 800
Glendale, CA 91203
(818) 242-4191
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1124835079
500 N CENTRAL AVE STE 800
Glendale, CA 91203
(818) 216-6161
✔ PECOS0.9 mi
Cardiac Electrophysiology
NPI 1144457029
500 N CENTRAL AVE STE 800
Glendale, CA 91203
(818) 242-4191
✔ PECOS✔ Accepts Medicare0.9 mi
Cardiovascular Disease (Cardiology)
NPI 1023072253
435 ARDEN AVE 410
Glendale, CA 91203
(818) 242-4191
✔ PECOS✔ Accepts Medicare1.3 mi
Cardiovascular Disease (Cardiology)
NPI 1679987481
1106 N GALLOWAY AVE
Mesquite, TX 75149
(972) 226-0505
✔ PECOS✔ Accepts Medicare1,252 mi
Cardiovascular Disease (Cardiology)
NPI 1932458502
310 GASLIGHT BLVD
Lufkin, TX 75904
(936) 632-8787
✔ PECOS✔ Accepts Medicare1,380 mi

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 Glendale Internal Medicine And Cardiology Medical Group, Inc's NPI number?

The NPI number for Glendale Internal Medicine And Cardiology Medical Group, Inc is 1912963364. It was assigned to this organization in the NPPES registry on April 25, 2006.

Where is Glendale Internal Medicine And Cardiology Medical Group, Inc located?

Glendale Internal Medicine And Cardiology Medical Group, Inc is located at 500 N Central Ave Ste 800, Glendale, CA 91203. The listed phone number is (818) 242-4191.

What is Glendale Internal Medicine And Cardiology Medical Group, Inc's specialty?

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

Is Glendale Internal Medicine And Cardiology Medical Group, Inc enrolled in Medicare?

Yes. Glendale Internal Medicine And Cardiology Medical Group, Inc is registered in the Medicare PECOS enrollment system.

When is Glendale Internal Medicine And Cardiology Medical Group, Inc'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 March 31, 2027. 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 Glendale Internal Medicine And Cardiology Medical Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 4 Medicare specialties reassign their Medicare billing to Glendale Internal Medicine And Cardiology Medical Group, Inc. 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 Cardiovascular Disease (Cardiology) (3), Cardiac Electrophysiology (1) and Interventional Cardiology (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Glendale Internal Medicine And Cardiology Medical Group, Inc was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.