Unknown Individual – Interventional Cardiology Physician, NPI 1528060936
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for Unknown Individual
1700, Prudential Drive, Jacksonville, Duval County, Florida, 32207, United States
CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 322078344
Phone: (904) 398-0125
Fax: (904) 398-1832
Type: Location
Box Tree Court, Arbor Pointe, Jacksonville, Duval County, Florida, 32225, United States
JACKSONVILLE, FL 322033667
Phone: (904) 398-3760
Fax: (904) 398-1832
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $383.
Total Amount is formed as General ($383) + Research ($0) + Ownership ($0) = $383.
Last reported payment date: 2024-04-24 • Largest payer in this snapshot: Medtronic, Inc. ($383).
Total Amount
$383
General + Research + Ownership
Payments
3
Total payment records
General Amount
$383
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $383 |
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32207)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | FL | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 77 | 59 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | FL | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 505 | 411 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Cardiovascular Disease (Cardiology) | FL | |
| Cardiovascular Disease (Cardiology) | FL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | GA | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | FL | |
| Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology) | SC | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Nurse Practitioner | FL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.