Unknown Individual – Cardiovascular Disease Physician, NPI 1356328801

Unknown Individual is a healthcare provider. based in Waterville, Maine. specializing in Cardiovascular Disease Physician. They hold a License No. MD18015 (ME). The NPI Number for Unknown Individual is 1356328801

Main info

Organization
Inactive
37 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1356328801
Phone
(207) 861-3025
Address
200 KENNEDY MEMORIAL DR
Deactivation Date
16 October 2025

Doctor Profile

Medical School Name
GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Secondary Phone
2078613338
Graduation Year
1989 (37 years ago)
PAC ID
8426065681
Group Practice PAC ID
6305817503
Professional Enrollment ID
I20090115000064
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

Loading map...

Provider Addresses for Unknown Individual

  • Inland Hospital, 200, Kennedy Memorial Drive, Waterville, Kennebec County, Maine, 04901, United States

    WATERVILLE, ME 049014526

    Phone: (207) 861-3025

    Type: Mailing

  • 149 North St

    Waterville, ME 049014974

    Phone: (207) 872-1800

    Fax: (207) 872-1049

    Type: Location

  • 200 Kennedy Memorial Dr

    Waterville, ME 049014526

    Phone: (207) 861-8030

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only507392$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function160156$0
99214Established patient office or other outpatient visit, 30-39 minutes7461$0
93016Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician4848$0
93018Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician4545$0
View full utilization report →

Insurance plans in this area (ZIP 04901)

Loading plans...

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: 6305817503View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1356328801 as the unique 10-digit identifier.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Waterville, Maine.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

DR. ANTHONY LEE SINTETOS (M.D., PH.D.)

Cardiovascular Disease Physician
174, Kennedy Memorial Drive, Waterville, Kennebec County, Maine, 04901, United States
NPI: 1336147222

ANDREW C CORSELLO (M.D.)

Clinical Cardiac Electrophysiology Physician
35 Medical Center Pkwy Ste 101
NPI: 1265412951

DR. MICHAEL C. LEMIEUX (MD)

Cardiovascular Disease Physician
Evergreen Drive, Waterville, Kennebec County, Maine, 04901, United States
NPI: 1013988559
2376 Cypress Cir
NPI: 1407899750

DR. DAVID W BUTZEL (MD)

Interventional Cardiology Physician
301C US ROUTE ONE
NPI: 1801832589

ELLIE ENKHTUYAA MUELLER (MD)

Interventional Cardiology Physician
PO BOX 3649
NPI: 1508917261

ADAM WILLIAM CALDWELL (MD)

Cardiovascular Disease Physician
111 Franklin Health Cmns
NPI: 1881954352

JORGE LUIS ESCOBAR VALLE (M.D.)

Cardiovascular Disease Physician
35 MEDICAL CENTER PKWY STE 101
NPI: 1730529108