CLEARWATER CARDIOVASCULAR AND INTERVENTIONAL CONSULTANTS MD PA – Cardiovascular Disease Physician, NPI 1659396133
Cardiovascular Disease Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CLEARWATER CARDIOVASCULAR AND INTERVENTIONAL CONSULTANTS MD PA
5851 Timuquana Rd Ste 204
Jacksonville, FL 322107898
Phone: (904) 493-3333
Fax: (904) 493-2222
Type: Location
8839 Bryan Dairy Rd Ste 300
Largo, FL 337771207
Phone: (727) 394-1911
Fax: (727) 394-1986
Type: Location
3890 Dunn Ave Ste 203
Jacksonville, FL 322186428
Phone: (904) 493-3333
Fax: (904) 493-2222
Type: Location
905 Beach Blvd
Jacksonville, FL 322504303
Phone: (904) 493-3333
Fax: (904) 493-2222
Type: Location
1840 Mease Dr Ste 202
Safety Harbor, FL 346956604
Phone: (727) 725-6246
Fax: (727) 726-5865
Type: Location
205 Zeagler Dr Ste 101
Palatka, FL 321773860
Phone: (386) 325-2836
Fax: (386) 325-2736
Type: Location
3627 University Blvd S Ste 435
Jacksonville, FL 322164238
Phone: (904) 724-5000
Fax: (904) 677-4498
Type: Location
7011 A C Skinner Pkwy Ste 160
Jacksonville, FL 322566953
Phone: (904) 493-3333
Fax: (904) 493-2222
Type: Location
1681 Eagle Harbor Pkwy Ste B
Fleming Island, FL 320034819
Phone: (904) 644-0092
Fax: (904) 644-0099
Type: Location
501 Riverside Dr
Waycross, GA 315015316
Phone: (904) 493-3333
Fax: (904) 493-2222
Type: Location
3633 Little Rd Ste 102
Trinity, FL 346551815
Phone: (727) 372-5952
Fax: (727) 863-1787
Type: Location
115 Bartram Oaks Walk
Saint Johns, FL 322593243
Phone: (904) 493-3333
Fax: (904) 493-2222
Type: Location
455 PINELLAS ST STE 400
CLEARWATER, FL 337563356
Phone: (727) 445-1992
Fax: (727) 445-1993
Type: Mailing
455, Pinellas Street, Clearwater, Pinellas County, Florida, 33756, United States
SUITE 400
CLEARWATER, FL 337563356
Phone: (727) 445-1911
Fax: (727) 445-1986
Type: Location
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: 2024-11-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| O20050120000848 | O | Clinic/Group Practice | FL | TBD |
| O20241111000872 | O | Intensive Cardiac Rehabilitation | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 32210)
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