Unknown Individual – Specialist, NPI 1043219876

Unknown Individual is a healthcare provider. based in Boston, Massachusetts. specializing in Specialist. They hold a License No. 25MA04711100 (NJ). The NPI Number for Unknown Individual is 1043219876

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1043219876
Phone
Not provided
Address
PO BOX 416457
Deactivation Date
16 October 2025

Doctor Profile

Medical School Name
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Secondary Phone
9735863400
Graduation Year
1983 (43 years ago)
PAC ID
2860553096
Group Practice PAC ID
3173699956
Professional Enrollment ID
I20101124000009
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

  • PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States

    BOSTON, MA 022416457

    Phone:

    Type: Mailing

  • Route, Queenstown-Lakes District, Otago, New Zealand

    MOUNTAIN LAKES, NJ 070461717

    Phone: (973) 586-3400

    Fax: (973) 586-1916

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 200 Open Payments records for all available years, with a total value of $4,539.

Total Amount is formed as General ($4,539) + Research ($0) + Ownership ($0) = $4,539.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($472).

Total Amount

$4,539

General + Research + Ownership

Payments

200

Total payment records

General Amount

$4,539

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

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
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2,0461,108$0
99214Established patient office or other outpatient visit, 30-39 minutes2,0411,043$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only983771$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function531523$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes352202$0
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Insurance plans in this area (ZIP 02241)

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Provider's Procedures

Unknown Individual performs procedures in Specialist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL CARDIOLOGYNJ78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies5757
INTERVENTIONAL CARDIOLOGYNJ85610Blood test, clotting time36042
INTERVENTIONAL CARDIOLOGYNJ93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report5332

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1043219876 — is the standard way to identify this listing.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Other Service Providers is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Boston, Massachusetts; more addresses can appear in NPPES.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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