OrganizationActive
Advanced Heart and Vascular Medicine, Inc.
NPI 1790100873 · Interventional Cardiology Physician · Lake Mary, FL
Provider details
- NPI number
- 1790100873
- Entity type
- Organization
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Basiem Barsoum, President(407) 804-9199
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1355 S International Pkwy
Suite 1481
Lake Mary, FL 32746-1694
Phone: (407) 804-9199
Fax: (407) 804-9393
Street-level locationGet directions
Mailing address
Po Box 951989
Lake Mary, FL 32795-1989
Registry dates
- Enumerated
- 2014-02-26
- Last updated
- 2014-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.