CARDIOVASCULAR CARE CONSULTANTS S.C.
NPI 1164704805
Internal Medicine - Cardiovascular Disease in Oak Lawn, IL

NPI Status: Active since September 19, 2011

Contact Information

4950 W 95TH ST
OAK LAWN, IL
ZIP 60453
Phone: (708) 576-8150
Fax: (708) 576-8831

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease
  • Accepts Insurance
  • CLIA Number: 14D2035513
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-18-2026

About CARDIOVASCULAR CARE CONSULTANTS S.C.

This page provides the complete NPI Profile along with additional information for Cardiovascular Care Consultants S.c., an internist established in Oak Lawn, Illinois operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1164704805 assigned on September 2011. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's former legal business name is Midamerica Heart And Vascular Associates Sc. The authorized official of this NPI record is Jill Scalzo Rn, Ms, Mba (Coo)

NPI
1164704805
Provider Legal Name
CARDIOVASCULAR CARE CONSULTANTS S.C.
Other Organization Name
MIDAMERICA HEART AND VASCULAR ASSOCIATES SC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
4950 W 95TH ST OAK LAWN, IL 60453
Location Phone
(708) 576-8150
Location Fax
(708) 576-8831
Mailing Address
4950 W 95TH ST OAK LAWN, IL 60453
Mailing Phone
(708) 576-8150
Mailing Fax
(708) 576-8831
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-19-2011
Last Update Date
01-09-2014
Code Navigator

An internist like Cardiovascular Care Consultants S.c. 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:

  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
  • MyBlue Plus Bronze? 903 - POS
  • MyBlue Plus Bronze? 912 - POS
  • MyBlue Plus Bronze? Standard - Select Rx Copays - POS
  • MyBlue Plus Gold? 909 - POS
  • MyBlue Plus Gold? 910 - POS
  • MyBlue Plus Gold? Standard - Rx Copays - POS
  • MyBlue Plus Silver? 905 - POS
  • MyBlue Plus Silver? 906 - POS
  • MyBlue Plus Silver? Standard - Select Rx Copays - POS

*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

JILL SCALZO RN, MS, MBA

Authorized Official Title
COO
Authorized Official Phone
(708) 741-4405

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
14D2035513
Facility Type
Physician Office
Certificate Effective Date
January 19, 2024
Certificate Expiration Date
January 18, 2026
Laboratory Director
SURENDRA B. AVULA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cardiovascular Care Consultants S.c. 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.

Reviews for CARDIOVASCULAR CARE CONSULTANTS S.C.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1164704805
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21124140880
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 4 + 0 + 8 + 8 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1164704805 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699768432DR. GAUTAM K PATEL MD
Individual
Internal Medicine (Cardiovascular Disease)4950 W 95TH ST
OAK LAWN, IL 60453
(708) 576-8150
1124573084 AMY PACELLA N.P.
Individual
Nurse Practitioner (Gerontology)4950 W 95TH ST
OAK LAWN, IL 60453
(708) 576-8150
1669465480 MAUREEN A MCCAFFERTY RN, APN
Individual
Clinical Nurse Specialist4950 W 95TH ST
OAK LAWN, IL 60453
(708) 576-8150
1326685892 ALLISON HOFFERTH FNP-BC
Individual
Nurse Practitioner (Family)4950 W 95TH ST
OAK LAWN, IL 60453
(708) 576-8150
1275526071DR. SURENDRA B AVULA MD
Individual
Internal Medicine (Cardiovascular Disease)4950 W 95TH ST
OAK LAWN, IL 60453
(708) 576-8150
1750374500DR. DINKER A TRIVEDI MD
Individual
Internal Medicine (Cardiovascular Disease)4950 W 95TH ST SUITE 409
OAK LAWN, IL 60453
(708) 636-7575

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164704805, enumerated in the NPI registry as an "organization" on September 19, 2011

The provider is located at 4950 W 95th St Oak Lawn, Il 60453 and the phone number is (708) 576-8150

This medical organization specializes in Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease

The provider might be accepting Accepts: Aetna CVS Health and Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 14D2035513 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on September 19, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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