Lifetime Cardiovascular, PLC
NPI 1356771661ActiveOrganization· Internal Medicine, Interventional Cardiology· Chandler, AZ
Internal Medicine, Interventional Cardiology in Chandler, Arizona, registered in NPPES in November 2013. The authorized official on file is Gautam Kedia, Owner/Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1356771661 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 22, 2013 |
| Last updated in NPPES | Mar 9, 2026 |
| Certified by provider | Mar 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Interventional Cardiology Primary | 207RI0011X | — | — |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 44342 | AZ |
| Nuclear Medicine, Nuclear Cardiology | 207UN0901X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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