Unknown Individual – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1366488447

Unknown Individual is a healthcare provider. based in Burlington, Massachusetts. specializing in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. They hold a License No. 206004 (MA). The NPI Number for Unknown Individual is 1366488447

Main info

Organization
Inactive
35 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1366488447
Phone
(781) 744-8085
Address
41 MALL RD LAHEY HOSPITAL & MEDICAL CENTER
Deactivation Date
31 May 2023

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
7817448085
Graduation Year
1991 (35 years ago)
PAC ID
1254369879
Group Practice PAC ID
2264336528
Professional Enrollment ID
I20080826000158
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

  • Lahey Hospital & Medical Center, 41, Burlington Mall Road, Burlington, Middlesex County, Massachusetts, 01805, United States

    BURLINGTON, MA 018050001

    Phone: (781) 744-8085

    Mailing address matches the actual address.

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 01805)

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Provider's Procedures

Unknown Individual performs procedures in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIAC SURGERYMA33518Combined multiple vein and artery heart artery bypasses3131

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: 2264336528View full group profile
NameSpecialtyState
Nurse PractitionerMA
-MA
G A S T R O E N T E R O L O G YNY
Physician AssistantMA
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1366488447?
NPI 1366488447 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is Unknown Individual registered?
Use Burlington, Massachusetts as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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