National Provider Identifier

Congenital Heart Compass Medical PLLC

Congenital Heart Compass Medical PLLC is listed in the NPPES registry with a primary specialty of Pediatric Cardiology Physician in Rochester, NY and a listed phone number of (585) 340-7402.

NPI 1427910009Rochester, NYPediatric Cardiology Physician

Profile Overview

NPI
1427910009
Provider Type
Organization
Primary Specialty
Pediatric Cardiology Physician
Enumeration Date
December 02, 2025
Last Updated
December 02, 2025

Practice Location

  • 62 Empire Blvd
  • Rochester, NY 14609-4356

Phone: (585) 340-7402

Specialties

  • Pediatric Cardiology Physician (2080P0202X)
  • Adult Congenital Heart Disease Physician (207RA0002X)
Full Record
NPI
1427910009
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Congenital Heart Compass Medical PLLC
Mailing Street Address
62 Empire Blvd
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-4356
Mailing Country
US
Mailing Phone
(585) 340-7402
Mailing Fax
(585) 326-6129
Practice Street Address
62 Empire Blvd
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-4356
Practice Country
US
Practice Phone
(585) 340-7402
Practice Fax
(585) 326-6129
Enumeration Date
December 02, 2025
Last Updated
December 02, 2025
Authorized Official Last Name
Charla
Authorized Official First Name
Pradeepkumar
Authorized Official Title
Founder/CEO
Authorized Official Phone
(585) 340-7402
Organization Subpart
No
Authorized Official Name Prefix Text
Dr.
Authorized Official Credential Text
MD
Taxonomy Group 1
193200000X Multi-Specialty Group
Taxonomy Group 2
193200000X Multi-Specialty Group
Certification Date
December 02, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Cardiology Physician (2080P0202X), Adult Congenital Heart Disease Physician (207RA0002X)