Cardiac Renal & Vascular Associates PC
NPI 1649555467 · Interventional Cardiology Physician · Jackson, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cardiac Renal & Vascular Associates PC is a Interventional Cardiology Physician organization in Jackson, MS (NPI 1649555467).
Provider details
- NPI number
- 1649555467
- Entity type
- Organization
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Olurotimi Badero, Registered Agent(601) 750-5736
- License
- 21527 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-10-12
- Last updated
- 2013-12-11
Frequently asked questions
- What is Cardiac Renal & Vascular Associates PC's NPI number?
- Cardiac Renal & Vascular Associates PC's National Provider Identifier (NPI) is 1649555467, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cardiac Renal & Vascular Associates PC?
- Cardiac Renal & Vascular Associates PC is classified in the NPPES registry as Interventional Cardiology Physician (Allopathic & Osteopathic Physicians).
- Where is Cardiac Renal & Vascular Associates PC located?
- Cardiac Renal & Vascular Associates PC's practice location on file with NPPES is 5240 Robinson Road Ext, Jackson, MS 39204-4276.
- What is Cardiac Renal & Vascular Associates PC's phone number?
- The practice phone number listed in the NPPES registry for Cardiac Renal & Vascular Associates PC is (601) 398-0904.
- Does Cardiac Renal & Vascular Associates PC accept Medicare?
- Cardiac Renal & Vascular Associates PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Cardiac Renal & Vascular Associates PC?
- The authorized official listed on Cardiac Renal & Vascular Associates PC's NPPES record is Olurotimi Badero, Registered Agent. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cardiac Renal & Vascular Associates PC's NPI active?
- Yes — Cardiac Renal & Vascular Associates PC's NPI (1649555467) is active in the NPPES registry as of the last update on 2013-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.