Unknown Individual – Cardiovascular Disease Physician, NPI 1558358887

Unknown Individual is a healthcare provider. based in Boca raton, Florida. specializing in Cardiovascular Disease Physician. They hold a License No. ME58036 (FL). The NPI Number for Unknown Individual is 1558358887

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1558358887
Phone
(561) 483-8335
Address
9980 CENTRAL PARK BLVD N
Deactivation Date
20 March 2024

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
9544634383
Graduation Year
1985 (41 years ago)
PAC ID
5395764864
Group Practice PAC ID
1850298365
Professional Enrollment ID
I20100630000385
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

  • West Boca Medical Arts Pavillion, 9980, North Central Park Boulevard, Boca Raton, Palm Beach County, Florida, 33428, United States

    SUITE 304

    BOCA RATON, FL 334281762

    Phone: (561) 483-8335

    Fax: (561) 451-8122

    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 20 Open Payments records for all available years, with a total value of $567.

Total Amount is formed as General ($567) + Research ($0) + Ownership ($0) = $567.

Last reported payment date: 2023-11-09 • Largest payer in this snapshot: HeartFlow, Inc. ($112).

Total Amount

$567

General + Research + Ownership

Payments

20

Total payment records

General Amount

$567

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-09

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 minutes1,671802$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only825639$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function387374$0
A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose386277$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes355129$0
View full utilization report →

Insurance plans in this area (ZIP 33428)

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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 studies130130
CARDIOVASCULAR DISEASE (CARDIOLOGY)FL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report240205

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: 1850298365View full group profile
NameSpecialtyState
Cardiac Surgery, Thoracic SurgeryIN
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
Advanced Heart Failure And Transplant Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology)FL
Orthopedic SurgeryFL
Anesthesiology, Pediatric MedicineFL
Gastroenterology, Internal MedicineFL
A N E S T H E S I O L O G YAL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1558358887 in the public NPI dataset.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Cardiovascular Disease Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Boca Raton, Florida in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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