Unknown Individual – Interventional Cardiology Physician, NPI 1528040532

Unknown Individual is a healthcare provider. based in Des moines, Iowa. specializing in Interventional Cardiology Physician. They hold a License No. 19576 (IA). The NPI Number for Unknown Individual is 1528040532

Main info

Organization
Inactive
59 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1528040532
Phone
(515) 633-3600
Address
PO BOX 9170
Deactivation Date
4 June 2026

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Secondary Phone
5156333600
Graduation Year
1967 (59 years ago)
PAC ID
2163464512
Group Practice PAC ID
5698683142
Professional Enrollment ID
I20050525000738
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Des Moines Post Office, 1165, 2nd Avenue, Des Moines, Polk County, Iowa, 50318, United States

    DES MOINES, IA 503069170

    Phone: (515) 633-3600

    Fax: (515) 633-3838

    Type: Mailing

  • University Avenue, West Des Moines, Polk County, Iowa, 50325, United States

    WEST DES MOINES, IA 502668209

    Phone: (515) 633-3600

    Fax: (515) 288-0840

    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 50306)

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Provider's Procedures

Unknown Individual performs procedures in Interventional Cardiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL CARDIOLOGYIA85610Blood test, clotting time2820
INTERVENTIONAL CARDIOLOGYIA92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin10778
INTERVENTIONAL CARDIOLOGYIA93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart7474

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: 5698683142View full group profile
NameSpecialtyState
-IA
Cardiovascular Disease (Cardiology)IA
Nurse PractitionerIA
Nurse PractitionerIA
Nurse PractitionerIA
-IA
Vascular SurgeryIA
-IA
-IA
Cardiovascular Disease (Cardiology), Internal MedicineIA

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 1528040532 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 healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Des Moines, Iowa in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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