College Park Heart & Vascular Center - Medicare Primary Care in Shenandoah, TX

College Park Heart & Vascular Center is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Shenandoah, Texas. The current practice location for College Park Heart & Vascular Center is 17183 I 45 S Ste 350, Shenandoah, Texas. For appointments, you can reach them via phone at (936) 321-0080. The mailing address for College Park Heart & Vascular Center is Dept# 3013, Po Box 4417, Houston, Texas and phone number is (610) 644-8900.

College Park Heart & Vascular Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1194005603. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (936) 321-0080.

Contact Information

College Park Heart & Vascular Center
17183 I 45 S Ste 350
Shenandoah
TX 77385-3313
(936) 321-0080
(936) 321-0081

Map and Direction


Primary Care Clinic Profile

Full NameCollege Park Heart & Vascular Center
SpecialityClinic/Center
Location17183 I 45 S Ste 350, Shenandoah, Texas
Authorized Official Name and PositionKelly Marie Bemis (AUTHORIZED OFFICIAL)
Authorized Official Contact8585045667
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
College Park Heart & Vascular Center
Dept# 3013, Po Box 4417
Houston
TX 77210

Ph: (610) 644-8900
College Park Heart & Vascular Center
17183 I 45 S Ste 350
Shenandoah
TX 77385-3313

Ph: (936) 321-0080

NPI Details:

NPI Number1194005603
Provider Enumeration Date08/29/2011
Last Update Date11/09/2023

Medicare PECOS Information:

Medicare PECOS PAC ID4789846262
Medicare Enrollment IDO20120430000018

Medical Identifiers

Medical identifiers for College Park Heart & Vascular Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194005603NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. College Park Heart & Vascular Center acts as a billing entity for following providers:
Provider NameLaura Fernandes
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1811083116
PECOS PAC ID: 6103815865
Enrollment ID: I20040507001124
Provider NameRamesh Hariharan
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1770509168
PECOS PAC ID: 0648236232
Enrollment ID: I20041206000560
Provider NameMobolaji M Odelowo
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1073562419
PECOS PAC ID: 0143215137
Enrollment ID: I20050111000318
Provider NameAdnan Afzal
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1790862985
PECOS PAC ID: 7618991449
Enrollment ID: I20060119000875
Provider NameArindam M Banerjee
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1861402810
PECOS PAC ID: 2163423542
Enrollment ID: I20070129000030
Provider NameArif B Abdullah
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1801803069
PECOS PAC ID: 9436258050
Enrollment ID: I20070622000381
Provider NameHina F Siddiqui
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1770620957
PECOS PAC ID: 5092806646
Enrollment ID: I20070810000347
Provider NameVinay R Julapalli
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1518165521
PECOS PAC ID: 0042305831
Enrollment ID: I20071009000657
Provider NameSanjaykumar R Patel
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1306030150
PECOS PAC ID: 4385719251
Enrollment ID: I20080813000058
Provider NameAli N Rizvi
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1811959125
PECOS PAC ID: 7416947650
Enrollment ID: I20090521000236
Provider NamePaul Y Cunningham
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1356582886
PECOS PAC ID: 2466577036
Enrollment ID: I20100920000647
Provider NameShashikumar S Bellur
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1346276557
PECOS PAC ID: 3779488622
Enrollment ID: I20110610000523
Provider NameHussein Nooruddin Yamani
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1003007204
PECOS PAC ID: 0042483414
Enrollment ID: I20111031000293
Provider NameGeorge Edward Manoukian
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1619265485
PECOS PAC ID: 9436322872
Enrollment ID: I20111101000263
Provider NameGeorge A Nasser
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1992880595
PECOS PAC ID: 3779515242
Enrollment ID: I20111114000017
Provider NameRajesh Venkataraman
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1518135821
PECOS PAC ID: 0244306439
Enrollment ID: I20130703000524
Provider NameAnkur R Khosla
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1861760985
PECOS PAC ID: 3779723820
Enrollment ID: I20130712000504
Provider NameRabab Mohsin
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1316172067
PECOS PAC ID: 1658512124
Enrollment ID: I20130725000440
Provider NameRajesh Ramineni
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1134320245
PECOS PAC ID: 6507177904
Enrollment ID: I20170906003539
Provider NameNaktal Satam Hamoud
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1922237494
PECOS PAC ID: 6002066941
Enrollment ID: I20181016002973
Provider NameArun S Kannan
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1467683847
PECOS PAC ID: 9133375264
Enrollment ID: I20201014000951
Provider NameMushtaque Ahmed
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1275917361
PECOS PAC ID: 8628312584
Enrollment ID: I20230628003707

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.