PREMIER HEART AND VASCULAR CENTER, PA – Cardiovascular Disease Physician, NPI 1417060229
Cardiovascular Disease Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PREMIER HEART AND VASCULAR CENTER, PA
2477 Bruce B Downs Blvd
Wesley Chapel, FL 335449213
Phone: (813) 788-1400
Fax: (813) 788-7691
Type: Location
1470 N Florida Ave
Lakeland, FL 338053637
Phone: (813) 788-1400
Fax: (813) 788-7691
Type: Location
6646 Gunn Hwy
Tampa, FL 336254055
Phone: (813) 788-1400
Fax: (813) 788-7691
Type: Location
2615 Windguard Cir # 110
Wesley Chapel, FL 335447353
Phone: (813) 788-1400
Fax: (813) 788-7691
Type: Location
3675 Innovation Dr
Lakeland, FL 338124106
Phone: (813) 788-1400
Fax: (813) 788-7691
Type: Location
38035, Medical Center Avenue, Pasco Medical Arts Center, Zephyrhills, Pasco County, Florida, 33540, United States
ZEPHYRHILLS, FL 33539
Phone: (813) 788-1400
Fax: (813) 788-7691
Type: Location
PO BOX 2709
ZEPHYRHILLS, FL 335392709
Phone: (813) 788-1400
Fax: (813) 788-7691
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-03-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-09-30 (251 days ago).
Enrollment records
1
Earliest due date
2025-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20060323000201 | O | Clinic/Group Practice | FL | 2025-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33544)
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