Unknown Individual – Cardiovascular Disease Physician, NPI 1043436140

Unknown Individual is a healthcare provider. based in Jacksonville, Florida. specializing in Cardiovascular Disease Physician. They hold a License No. ME130313 (FL). The NPI Number for Unknown Individual is 1043436140

Main info

Organization
Inactive
28 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1043436140
Phone
Not provided
Address
4205 BELFORT RD STE 4015
Deactivation Date
8 November 2024

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9043881820
Graduation Year
1998 (28 years ago)
PAC ID
9133314008
Group Practice PAC ID
2860411188
Professional Enrollment ID
I20170203001895
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 4205 BELFORT RD STE 4015

    JACKSONVILLE, FL 322163623

    Phone:

    Type: Mailing

  • 1824 KING ST STE 300

    JACKSONVILLE, FL 322044736

    Phone: (904) 388-1820

    Fax: (904) 388-1827

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $807.

Total Amount is formed as General ($807) + Research ($0) + Ownership ($0) = $807.

Last reported payment date: 2023-10-25 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($248).

Total Amount

$807

General + Research + Ownership

Payments

13

Total payment records

General Amount

$807

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-25

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
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function453448$0
99214Established patient office or other outpatient visit, 30-39 minutes425315$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only259114$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report209188$0
93312Ultrasound of heart with probe in esophagus, with report171165$0
View full utilization report →

Insurance plans in this area (ZIP 32216)

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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)NH85610Blood test, clotting time14651
CARDIOVASCULAR DISEASE (CARDIOLOGY)NH93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report194151
CARDIOVASCULAR DISEASE (CARDIOLOGY)NH93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report5338

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: 2860411188View full group profile

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1043436140 as the unique 10-digit identifier.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is Unknown Individual registered?
Use Jacksonville, Florida as the headline location for Unknown Individual here.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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