Unknown Individual – Cardiovascular Disease Physician, NPI 1174521181

Unknown Individual is a healthcare provider. based in Hartford, Connecticut. specializing in Cardiovascular Disease Physician. They hold a License No. 023725 (CT). The NPI Number for Unknown Individual is 1174521181

Main info

Organization
Inactive
46 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1174521181
Phone
(860) 545-5061
Address
85 SEYMOUR ST
Deactivation Date
19 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8609723570
Graduation Year
1980 (46 years ago)
PAC ID
4082518741
Group Practice PAC ID
3173866241
Professional Enrollment ID
I20101005000816
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • Medical Office Building, 85, Seymour Street, Frog Hollow Historic District, Hartford, Hartford County, Connecticut, 06106, United States

    STE. 821

    HARTFORD, CT 061065501

    Phone: (860) 545-5061

    Fax: (860) 545-3558

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06106)

Loading plans...

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)CT92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin9464
CARDIOVASCULAR DISEASE (CARDIOLOGY)CT93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart129112

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: 3173866241View full group profile
NameSpecialtyState
-CT
Nurse PractitionerCT
Nurse PractitionerCT
-CT
-CT
-CT
Internal MedicineCT
Internal MedicineCT
Nurse PractitionerCT
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)CT

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1174521181.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Hartford, Connecticut in registry-derived data.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

RICHARD SOUCIER (MD)

Cardiovascular Disease Physician
Asylum Avenue, Hartford, Hartford County, Connecticut, 06105, United States of America
NPI: 1255334207

Unknown Individual

Cardiovascular Disease Physician
Asylum Avenue, Hartford, Hartford County, Connecticut, 06105, United States of America
NPI: 1023011145

MR. DANIEL DIVER (MD)

Cardiovascular Disease Physician
Asylum Avenue, Asylum Avenue District Historic District, Hartford, Hartford County, Connecticut, 06105, United States
NPI: 1346243474

ANITA KELSEY (MD)

Cardiovascular Disease Physician
Asylum Avenue, Hartford, Hartford County, Connecticut, 06105, United States of America
NPI: 1083617161

DR. DANIEL BRUCE FRAM (M.D.)

Interventional Cardiology Physician
Medical Office Building, 85, Seymour Street, Frog Hollow Historic District, Hartford, Hartford County, Connecticut, 06106, United States
NPI: 1770586471

DAVID IRVING SILVERMAN (MD)

Cardiovascular Disease Physician
PO BOX 40,000 DEPT 634
NPI: 1649277633

DR. FRANCIS JOSEPH KIERNAN (M.D.)

Cardiovascular Disease Physician
Medical Office Building, 85, Seymour Street, Frog Hollow Historic District, Hartford, Hartford County, Connecticut, 06106, United States
NPI: 1962400978

DR. JOSEPH FRANCIS MITCHEL (D.O.)

Cardiovascular Disease Physician
19, Woodland Street, Parkville, Hartford, Hartford County, Connecticut, 06105, United States
NPI: 1609874627

DR. CHARLES ARTHUR PRIMIANO (M.D.)

Cardiovascular Disease Physician
Medical Office Building, 85, Seymour Street, Frog Hollow Historic District, Hartford, Hartford County, Connecticut, 06106, United States
NPI: 1083612097