Unknown Individual – Cardiovascular Disease Physician, NPI 1497758106

Unknown Individual is a healthcare provider. based in Weeki wachee, Florida. specializing in Cardiovascular Disease Physician. They hold a License No. ME59608 (FL). The NPI Number for Unknown Individual is 1497758106

Main info

Organization
Inactive
35 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1497758106
Phone
(352) 596-4660
Address
10065 CORTEZ BLVD
Deactivation Date
10 April 2024

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Secondary Phone
3525964660
Graduation Year
1991 (35 years ago)
PAC ID
6901905454
Group Practice PAC ID
0840290730
Professional Enrollment ID
I20110201000727
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

  • Cortez Boulevard, Weeki Wachee, Hernando County, Florida, 34613, United States

    WEEKI WACHEE, FL 346136389

    Phone: (352) 596-4660

    Fax: (352) 596-4674

    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 11 Open Payments records for all available years, with a total value of $315.

Total Amount is formed as General ($315) + Research ($0) + Ownership ($0) = $315.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Boston Scientific Corporation ($133).

Total Amount

$315

General + Research + Ownership

Payments

11

Total payment records

General Amount

$315

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

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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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml6,70060$0
J0153Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)99720$0
99214Established patient office or other outpatient visit, 30-39 minutes796515$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report284258$0
99213Established patient office or other outpatient visit, 20-29 minutes152150$0
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Insurance plans in this area (ZIP 34613)

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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)FL71250CT scan chest8676
CARDIOVASCULAR DISEASE (CARDIOLOGY)FL85610Blood test, clotting time1350124
CARDIOVASCULAR DISEASE (CARDIOLOGY)FL93284Evaluation, testing and programming adjustment of defibrillator with analysis, review and report3516
CARDIOVASCULAR DISEASE (CARDIOLOGY)FL93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart1514

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: 0840290730View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineFL
Cardiovascular Disease (Cardiology)FL
Cardiovascular Disease (Cardiology)FL
Internal MedicineFL
Interventional Cardiology, Cardiovascular Disease (Cardiology)FL
-FL
Nurse PractitionerFL
Family PracticeFL

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1497758106.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Weeki Wachee, Florida in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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