Unknown Individual – Cardiovascular Disease Physician, NPI 1083685226

Unknown Individual is a healthcare provider. based in Greenwich, Connecticut. specializing in Cardiovascular Disease Physician. They hold a License No. 031449 (CT). The NPI Number for Unknown Individual is 1083685226

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1083685226
Phone
(203) 869-6960
Address
75 HOLLY HILL LN
Deactivation Date
4 December 2025

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2038633008
Graduation Year
1985 (41 years ago)
PAC ID
3870634686
Group Practice PAC ID
3678476710
Professional Enrollment ID
I20100315000278
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

  • 75, Holly Hill Lane, Greenwich, Fairfield County, Connecticut, 06830, United States

    GREENWICH, CT 068306098

    Phone: (203) 869-6960

    Fax: (203) 869-5103

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1,8581,330$0
99214Established patient office or other outpatient visit, 30-39 minutes729371$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report512464$0
85610Blood test, clotting time31330$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function195189$0
View full utilization report →

Insurance plans in this area (ZIP 06830)

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Provider's Procedures

Unknown Individual performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)CT93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1486849

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678476710View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineCT
Nuclear Medicine, Cardiovascular Disease (Cardiology), Internal MedicineNY
Emergency MedicineNY
Psychiatry, Neurology, PsychiatryCT
Emergency MedicineNY
-CT
Internal MedicineCT
-CT
-CT
-CT

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1083685226 if you need a stable reference for Unknown Individual.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Connecticut?
You will see Greenwich, Connecticut on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1083685226. Always confirm identity and privileges with the practice and licensing boards.

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