Eastlake Cardiovascular PC
NPI 1982657474 · Cardiovascular Disease Physician · St Clair Shores, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eastlake Cardiovascular PC is a Cardiovascular Disease Physician organization in St Clair Shores, MI (NPI 1982657474).
Provider details
- NPI number
- 1982657474
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- George Ghanem, President(586) 498-0440
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2006-05-18
- Last updated
- 2020-12-01
- Certified
- 2020-12-01
Frequently asked questions
- What is Eastlake Cardiovascular PC's NPI number?
- Eastlake Cardiovascular PC's National Provider Identifier (NPI) is 1982657474, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastlake Cardiovascular PC?
- Eastlake Cardiovascular PC is classified in the NPPES registry as Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Eastlake Cardiovascular PC located?
- Eastlake Cardiovascular PC's practice location on file with NPPES is 24211 Little Mack Ave, St Clair Shores, MI 48080-1190.
- What is Eastlake Cardiovascular PC's phone number?
- The practice phone number listed in the NPPES registry for Eastlake Cardiovascular PC is (586) 498-0440.
- Does Eastlake Cardiovascular PC accept Medicare?
- Eastlake Cardiovascular 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 Eastlake Cardiovascular PC?
- The authorized official listed on Eastlake Cardiovascular PC's NPPES record is George Ghanem, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastlake Cardiovascular PC's NPI active?
- Yes — Eastlake Cardiovascular PC's NPI (1982657474) is active in the NPPES registry as of the last update on 2020-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.