Unknown Individual – Cardiovascular Disease Physician, NPI 1922093962

Unknown Individual is a healthcare provider. based in Silver spring, Maryland. specializing in Cardiovascular Disease Physician. They hold a License No. MD10125 (DC). The NPI Number for Unknown Individual is 1922093962

Main info

Organization
Inactive
57 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1922093962
Phone
(202) 832-1800
Address
17 BRYANTS NURSERY RD
Deactivation Date
13 March 2025

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
2028321800
Graduation Year
1969 (57 years ago)
PAC ID
6800966011
Group Practice PAC ID
4385682061
Professional Enrollment ID
I20080530000351
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

  • 17 BRYANTS NURSERY RD

    SILVER SPRING, MD 209053840

    Phone: (202) 832-1800

    Type: Mailing

  • 1160, Varnum Street Northeast, Michigan Park, Ward 5, Washington, District of Columbia, 20017, United States

    WASHINGTON, DC 200172106

    Phone: (202) 832-1800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $482.

Total Amount is formed as General ($482) + Research ($0) + Ownership ($0) = $482.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($98).

Total Amount

$482

General + Research + Ownership

Payments

22

Total payment records

General Amount

$482

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

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
99213Established patient office or other outpatient visit, 20-29 minutes555316$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report472349$0
99214Established patient office or other outpatient visit, 30-39 minutes8068$0
99212Established patient office or other outpatient visit, 10-19 minutes7453$0
99441Telephone medical discussion with physician, 5-10 minutes6858$0
View full utilization report →

Insurance plans in this area (ZIP 20905)

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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)DC85610Blood test, clotting time5717

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: 4385682061View full group profile

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1922093962.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Silver Spring, Maryland may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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