WYOMING HEART AND VASCULAR CENTER LLC
NPI 1932889482
Internal Medicine - Cardiovascular Disease in Rock Springs, WY

NPI Status: Active since July 20, 2023

Contact Information

1204 HILLTOP DR STE 106
ROCK SPRINGS, WY
ZIP 82901
Phone: (307) 522-5555
Fax: (888) 819-5155

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease
  • Accepts Insurance
  • CLIA Number: 53D2295746
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-14-2027

About WYOMING HEART AND VASCULAR CENTER LLC

This page provides the complete NPI Profile along with additional information for Wyoming Heart And Vascular Center Llc, an internist established in Rock Springs, Wyoming operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1932889482 assigned on July 2023. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Mansour Khaddr Md (Cardiologist/managing Member)

NPI
1932889482
Provider Name
WYOMING HEART AND VASCULAR CENTER LLC
Entity Type
Organization
Location Address
1204 HILLTOP DR STE 106 ROCK SPRINGS, WY 82901
Location Phone
(307) 522-5555
Location Fax
(888) 819-5155
Mailing Address
1204 HILLTOP DR STE 106 ROCK SPRINGS, WY 82901
Mailing Phone
(307) 522-5555
Mailing Fax
(888) 819-5155
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-20-2023
Last Update Date
03-25-2024
Code Navigator

An internist like Wyoming Heart And Vascular Center Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueSelect Bronze Basic - PPO
  • BlueSelect Bronze Core - PPO
  • BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
  • BlueSelect Gold Core - PPO
  • BlueSelect Gold HealthPlus - PPO
  • BlueSelect Gold Standard without Kid's Dental - PPO
  • BlueSelect Silver Classic - PPO
  • BlueSelect Silver Classic without Kid's Dental - PPO
  • BlueSelect Silver HealthPlus - PPO
  • BlueSelect Silver HealthPlus without Kid's Dental - PPO
  • BlueSelect Silver Standard without Kid's Dental - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MANSOUR KHADDR MD

Authorized Official Title
CARDIOLOGIST/MANAGING MEMBER
Authorized Official Phone
(412) 626-0143

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
53D2295746
Facility Type
Physician Office
Certificate Effective Date
December 15, 2025
Certificate Expiration Date
December 14, 2027
Laboratory Director
MANSOUR E. KHADDR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wyoming Heart And Vascular Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1932889482, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 78. The final step is to find the difference between that total and the next multiple of ten (80 - 78 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
3
Doubled → 6
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 8 → 16 → 7 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 6 + 2 + 1 + 6 + 8 + 1 + 8 + 4 + 1 + 6 + 24 = 78

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 78 is 80. The difference is the calculated check digit.

80 - 78 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1932889482.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Internal Medicine (Cardiovascular Disease)
1204 HILLTOP DR STE 106
ROCK SPRINGS, WY 82901
Nurse Practitioner (Family)
1204 HILLTOP DR STE 106
ROCK SPRINGS, WY 82901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932889482, enumerated as an "organization" on July 20, 2023.

The provider is located at 1204 HILLTOP DR STE 106 ROCK SPRINGS, WY 82901 and the phone number is (307) 522-5555.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming. Please consult your insurance carrier or call the provider to verify.