Lakeside Heart and Vascular Center PLLC
NPI 1801194352ActiveOrganization· Internal Medicine, Interventional Cardiology· Lake Havasu City, AZ
Internal Medicine, Interventional Cardiology in Lake Havasu City, Arizona, registered in NPPES in March 2011. The authorized official on file is Fadi Atassi, M.D., Owner/Member. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - intensive cardiac rehabilitation.
Overview
| NPI | 1801194352 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 8, 2011 |
| Last updated in NPPES | Jul 20, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Interventional Cardiology Primary | 207RI0011X | 44211 | AZ |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 44211 | AZ |
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 (AZ); Part B Supplier - Intensive Cardiac Rehabilitation (AZ) |
|---|
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