Unknown Individual – Cardiovascular Disease Physician, NPI 1427168129

Unknown Individual is a healthcare provider. based in Greenwich, Connecticut. specializing in Cardiovascular Disease Physician. They hold a License No. 14978CT (CT). The NPI Number for Unknown Individual is 1427168129

Main info

Organization
Inactive
57 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1427168129
Phone
(203) 622-9102
Address
49 LAKE AVE STE LL3
Deactivation Date
4 February 2022

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2036229102
Graduation Year
1969 (57 years ago)
PAC ID
1052457181
Professional Enrollment ID
I20091214000227
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

Provider Addresses for Unknown Individual

  • 49 LAKE AVE STE LL3

    GREENWICH, CT 068304501

    Phone: (203) 622-9102

    Fax: (203) 622-0508

    Type: Location

  • 38, Lake Avenue, Greenwich, Western Connecticut Planning Region, Connecticut, 06830, United States

    GREENWICH, CT 06830

    Phone: (203) 622-9102

    Fax: (203) 622-0508

    Type: Mailing

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.

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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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 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 report701455

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1427168129; it appears in the national provider directory.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within 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 this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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