Unknown Individual – Cardiovascular Disease Physician, NPI 1851371793

Unknown Individual is a healthcare provider. based in Livonia, Michigan. specializing in Cardiovascular Disease Physician. They hold a License No. 5101006158 (MI). The NPI Number for Unknown Individual is 1851371793

Main info

Organization
Inactive
57 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1851371793
Phone
(734) 464-3251
Address
37799 PROFESSIONAL CENTER DR
Deactivation Date
15 March 2022

Doctor Profile

Medical School Name
CHICAGO COLLEGE OF OSTEOPATHY
Secondary Phone
7344643251
Graduation Year
1969 (57 years ago)
PAC ID
6507778180
Group Practice PAC ID
8527090992
Professional Enrollment ID
I20040510001419
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

  • 37799, Professional Center Drive, Livonia, Wayne County, Michigan, 48154, United States

    SUITE 105

    LIVONIA, MI 481541153

    Phone: (734) 464-3251

    Fax: (734) 464-3368

    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 48154)

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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)MI93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report3331
CARDIOVASCULAR DISEASE (CARDIOLOGY)MI93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report2211

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: 8527090992View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineMI
Internal Medicine, Cardiovascular Disease (Cardiology)MI
Internal Medicine, Cardiovascular Disease (Cardiology)MI

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 1851371793 for Unknown Individual.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Livonia, Michigan in registry-derived data.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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