Unknown Individual – Cardiovascular Disease Physician, NPI 1225090657

Unknown Individual is a healthcare provider. based in St petersburg, Florida. specializing in Cardiovascular Disease Physician. They hold a License No. ME77881 (FL). The NPI Number for Unknown Individual is 1225090657

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1225090657
Phone
(727) 893-6234
Address
601 7TH ST S STE 205
Deactivation Date
12 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1985 (41 years ago)
PAC ID
6709834658
Group Practice PAC ID
2163668302
Professional Enrollment ID
I20050111000807
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

  • 601 7TH ST S STE 205

    ST PETERSBURG, FL 337014708

    Phone: (727) 893-6234

    Fax: (727) 553-7798

    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 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-02-07 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-07

Latest reported date

Top Companies

Largest payers in this snapshot

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only15483$0
99214Established patient office or other outpatient visit, 30-39 minutes4946$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function3737$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3412$0
99215Established patient office or other outpatient visit, 40-54 minutes2723$0
View full utilization report →

Insurance plans in this area (ZIP 33701)

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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)FL78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies5656
CARDIOVASCULAR DISEASE (CARDIOLOGY)FL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report17911183

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: 2163668302View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineFL
Cardiovascular Disease (Cardiology)FL
Cardiovascular Disease (Cardiology), Interventional CardiologyFL
Cardiovascular Disease (Cardiology), Internal MedicineFL
Cardiovascular Disease (Cardiology)FL
-FL
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyFL
Family PracticeAR
Internal Medicine, Cardiovascular Disease (Cardiology)FL
-FL

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1225090657 is assigned to Unknown Individual under the national enumeration system.
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 kind of provider is Unknown Individual?
The page reflects Cardiovascular Disease Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes St Petersburg, Florida for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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