Unknown Individual – Cardiovascular Disease Physician, NPI 1992772867

Unknown Individual is a healthcare provider. based in Cambridge, Massachusetts. specializing in Cardiovascular Disease Physician. They hold a License No. 79534 (MA). The NPI Number for Unknown Individual is 1992772867

Main info

Organization
Inactive
34 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1992772867
Phone
(617) 497-1560
Address
300 MOUNT AUBURN ST
Deactivation Date
6 September 2022

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6174971560
Graduation Year
1992 (34 years ago)
PAC ID
4981612827
Group Practice PAC ID
5991713836
Professional Enrollment ID
I20080711000248
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

  • 300, Mount Auburn Street, Old Cambridge, Cambridge, Middlesex County, Massachusetts, 02138, United States

    SUITE 310

    CAMBRIDGE, MA 021385600

    Phone: (617) 497-1560

    Fax: (617) 497-1109

    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 02138)

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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)MA92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin2722

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: 5991713836View full group profile
NameSpecialtyState
-MA
-MA
Cardiovascular Disease (Cardiology), Internal MedicineMA
Nurse PractitionerMA
Cardiovascular Disease (Cardiology)NY
Nurse PractitionerMA
Cardiovascular Disease (Cardiology)MA
Internal Medicine, Cardiovascular Disease (Cardiology)MA
Cardiovascular Disease (Cardiology), Internal MedicineMA
Interventional CardiologyMA

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1992772867 for Unknown Individual.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Cambridge, Massachusetts?
For routing, start with Cambridge, Massachusetts for Unknown Individual, then verify phone and hours locally.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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