Unknown Individual – Vascular Surgery Physician, NPI 1982633442

Unknown Individual is a healthcare provider. based in Centennial, Colorado. specializing in Vascular Surgery Physician. They hold a License No. 37416 (CO). The NPI Number for Unknown Individual is 1982633442

Main info

Organization
Inactive
59 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1982633442
Phone
(303) 741-4060
Address
8120 S HOLLY ST
Deactivation Date
25 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1967 (59 years ago)
PAC ID
5193748507
Professional Enrollment ID
I20060113000048
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • South Holly Street, Centennial, Arapahoe County, Colorado, 801111, United States

    SUITE 111

    CENTENNIAL, CO 801224005

    Phone: (303) 741-4060

    Fax: (720) 200-9444

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $52.

Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.

Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Solta Medical, a division of Bausch Health US, LLC ($52).

Total Amount

$52

General + Research + Ownership

Payments

2

Total payment records

General Amount

$52

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-07

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36471Injection of chemical agent into multiple incompetent veins of leg2111$0
93970Ultrasound study of arm or leg veins with compression and maneuvers1812$0
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Insurance plans in this area (ZIP 80122)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1982633442 as the unique 10-digit identifier.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Centennial?
Public fields place Unknown Individual around Centennial, Colorado. Always confirm the exact site before visiting.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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