Unknown Individual – Cardiovascular Disease Physician, NPI 1992798466

Unknown Individual is a healthcare provider. based in Hartford, Connecticut. specializing in Cardiovascular Disease Physician. They hold a License No. 017310 (CT). The NPI Number for Unknown Individual is 1992798466

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1992798466
Phone
(860) 525-4005
Address
19 WOODLAND ST
Deactivation Date
26 July 2024

Doctor Profile

Medical School Name
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Secondary Phone
8607144097
Graduation Year
1974 (52 years ago)
PAC ID
1850488115
Group Practice PAC ID
0941113567
Professional Enrollment ID
I20091009000494
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

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Provider Addresses for Unknown Individual

  • 19, Woodland Street, Parkville, Hartford, Hartford County, Connecticut, 06105, United States

    SUITE 47

    HARTFORD, CT 061052372

    Phone: (860) 525-4005

    Fax: (860) 525-4839

    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 8 Open Payments records for all available years, with a total value of $249.

Total Amount is formed as General ($249) + Research ($0) + Ownership ($0) = $249.

Last reported payment date: 2024-04-16 • Largest payer in this snapshot: Actelion Pharmaceuticals US, Inc. ($108).

Total Amount

$249

General + Research + Ownership

Payments

8

Total payment records

General Amount

$249

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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
99214Established patient office or other outpatient visit, 30-39 minutes521269$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report318225$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes20360$0
J2785Injection, regadenoson, 0.1 mg13634$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function119117$0
View full utilization report →

Insurance plans in this area (ZIP 06105)

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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
INTERVENTIONAL CARDIOLOGYCT93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1312

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: 0941113567View full group profile
NameSpecialtyState
-GA
Cardiovascular Disease (Cardiology)CT
-CT
Emergency MedicineRI
-GA
Physician AssistantCT
G A S T R O E N T E R O L O G YCT
Cardiovascular Disease (Cardiology)CT
Physician AssistantCT
General Surgery, Surgical OncologyCT

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1992798466 — is the standard way to identify this listing.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Hartford, Connecticut in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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