Unknown Individual – Cardiovascular Disease Physician, NPI 1124067061

Unknown Individual is a healthcare provider. based in Bluffton, Indiana. specializing in Cardiovascular Disease Physician. They hold a License No. 01027675A (IN). The NPI Number for Unknown Individual is 1124067061

Main info

Organization
Inactive
56 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1124067061
Phone
(260) 824-3500
Address
1 CAYLOR NICKEL SQ
Deactivation Date
10 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2608243210
Graduation Year
1970 (56 years ago)
PAC ID
3274661863
Group Practice PAC ID
7618984253
Professional Enrollment ID
I20100430000592

Contacts

Secure Messaging
ramalingam.balamohan@lutheranhealthnetwork.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 1 CAYLOR NICKEL SQ

    BLUFFTON, IN 467142529

    Phone: (260) 824-3500

    Fax: (260) 919-3551

    Type: Mailing

  • 1 Caylor Nickel Sq

    Bluffton, IN 467142529

    Phone: (260) 919-3302

    Fax: (260) 919-3551

    Type: Location

  • Bluffton Regional Medical Center, 303, South Main Street, Bluffton, Wells County, Indiana, 46714, United States

    BLUFFTON, IN 467142529

    Phone: (260) 919-3420

    Fax: (260) 919-3555

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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 46714)

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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)IN85610Blood test, clotting time33548
CARDIOVASCULAR DISEASE (CARDIOLOGY)IN93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report933457

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: 7618984253View full group profile
NameSpecialtyState
MARILYN V WHITNEY (M.D.)
-IN
HARISH P ARDESHNA (M.D.)
Pulmonary DiseaseIN
JESSICA M MORSE (DO)
-IN
ERIC P PURDY (M.D.)
O P H T H A L M O L O G YIN
DR. LINDA S MORSE (DO)
-IN
ANIL K RAO (M.D.)
R H E U M A T O L O G YIN
MRS. MARY C DONLEY (MD)
-IN
SHEZAD SANAULLAH (M.D.)
Cardiovascular Disease (Cardiology)FL
EDWARD V SCHULTZ (MD)
-IN
KRISTIN RUTH TOLIVER (D.P.M.)
-IN

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1124067061 for Unknown Individual, then check state licensing separately.
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 taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Cardiovascular Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Bluffton, Indiana as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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