Unknown Individual – Cardiovascular Disease Physician, NPI 1144290214

Unknown Individual is a healthcare provider. based in Scarborough, Maine. specializing in Cardiovascular Disease Physician. They hold a License No. MD14704 (ME). The NPI Number for Unknown Individual is 1144290214

Main info

Organization
Inactive
34 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1144290214
Phone
(207) 396-8600
Address
301C US ROUTE 1
Deactivation Date
20 December 2023

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
2077774420
Graduation Year
1992 (34 years ago)
PAC ID
1850285578
Group Practice PAC ID
0042107120
Professional Enrollment ID
I20040214000057
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

  • Route 1, Oak Hill, Cumberland County, Maine, 04074, United States

    SCARBOROUGH, ME 040749701

    Phone: (207) 396-8600

    Fax: (207) 396-8632

    Type: Mailing

  • 96, Campus Drive, Cumberland County, Maine, 04074, United States

    SUITE 1

    SCARBOROUGH, ME 040747133

    Phone: (207) 396-5611

    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 04074)

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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)ME78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies1919
CARDIOVASCULAR DISEASE (CARDIOLOGY)ME93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report447326

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: 0042107120View full group profile

Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1144290214.
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 Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Scarborough, Maine in the same public data insurers reference.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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