Cardiac Renal & Vascular Associates PC
NPI 1649555467ActiveOrganization· Internal Medicine, Interventional Cardiology· Jackson, MS
Internal Medicine, Interventional Cardiology in Jackson, Mississippi, registered in NPPES in October 2011. The authorized official on file is Olurotimi John Badero, MD, Registered Agent. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1649555467 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 12, 2011 |
| Last updated in NPPES | Dec 11, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Interventional Cardiology Primary | 207RI0011X | 21527 | MS |
| Internal Medicine, Nephrology | 207RN0300X | 21527 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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