Unknown Individual – Cardiovascular Disease Physician, NPI 1669471165

Unknown Individual is a healthcare provider. based in Louisville, Kentucky. specializing in Cardiovascular Disease Physician. They hold a License No. 41050 (KY). The NPI Number for Unknown Individual is 1669471165

Main info

Organization
Inactive
45 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1669471165
Phone
(502) 585-4321
Address
100 E LIBERTY ST STE 800
Deactivation Date
15 March 2023

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
5025838383
Graduation Year
1981 (45 years ago)
PAC ID
7719883594
Group Practice PAC ID
3476725599
Professional Enrollment ID
I20070713000094
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 800, East Liberty Street, Louisville, Jefferson County, Kentucky, 40204, United States

    LOUISVILLE, KY 402021428

    Phone: (502) 585-4321

    Fax: (502) 566-6338

    Type: Mailing

  • Dutchmans Lane, Louisville, Jefferson County, Kentucky, 40207, United States

    LOUISVILLE, KY 402074702

    Phone: (502) 585-4321

    Fax: (502) 899-9011

    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 40202)

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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)KY85610Blood test, clotting time15953

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: 3476725599View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Diagnostic RadiologyVA
Diagnostic RadiologyKY
-KY
-KY
Certified Registered Nurse Anesthetist (Crna)TN
O P H T H A L M O L O G YKY
Certified Registered Nurse Anesthetist (Crna)KY

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 1669471165.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Cardiovascular Disease Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Louisville, Kentucky?
If you are local to Louisville, Kentucky, Unknown Individual may be relevant to your search.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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