Unknown Individual – Interventional Cardiology Physician, NPI 1740363761

Unknown Individual is a healthcare provider. based in Hays, Kansas. specializing in Interventional Cardiology Physician. They hold a License No. H9391 (TX). The NPI Number for Unknown Individual is 1740363761

Main info

Organization
Inactive
42 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1740363761
Phone
(785) 625-4699
Address
2220 Canterbury Dr
Deactivation Date
12 December 2024

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
3259495081
Graduation Year
1984 (42 years ago)
PAC ID
0042106155
Group Practice PAC ID
2769487404
Professional Enrollment ID
I20040225000857
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

Provider Addresses for Unknown Individual

  • 2220 Canterbury Dr

    Hays, KS 676012370

    Phone: (785) 625-4699

    Fax: (785) 261-7424

    Type: Location

  • 3180, Executive Drive, San Angelo, Tom Green County, Texas, 76904, United States

    STE 102

    SAN ANGELO, TX 769046837

    Phone: (325) 944-1240

    Fax: (325) 944-8616

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-02-01 • Largest payer in this snapshot: Abbott Laboratories ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$21
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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only558446$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function155155$0
93016Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician4242$0
93018Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician4141$0
93321Ultrasound of heart blood flow, valves and chambers, follow-up3636$0
View full utilization report →

Insurance plans in this area (ZIP 67601)

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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: 2769487404View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)TX

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1740363761.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Hays, Kansas. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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