Unknown Individual – Interventional Cardiology Physician, NPI 1942280003

Unknown Individual is a healthcare provider. based in Saginaw, Michigan. specializing in Interventional Cardiology Physician. They hold a License No. 4301042070 (MI). The NPI Number for Unknown Individual is 1942280003

Main info

Organization
Inactive
51 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1942280003
Phone
(989) 754-3000
Address
1015 S WASHINGTON AVE
Deactivation Date
28 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9897543000
Graduation Year
1975 (51 years ago)
PAC ID
4587576012
Group Practice PAC ID
6305737156
Professional Enrollment ID
I20100720000289

Contacts

Secure Messaging
shiraz.shariff.1@11016.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • 1015, South Washington Avenue, Saginaw, Saginaw County, Michigan, 48601, United States

    SAGINAW, MI 486012556

    Phone: (989) 754-3000

    Fax: (989) 755-1365

    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 48601)

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Provider's Procedures

Unknown Individual performs procedures in Interventional Cardiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)MI92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin1614
CARDIOVASCULAR DISEASE (CARDIOLOGY)MI93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1481760
CARDIOVASCULAR DISEASE (CARDIOLOGY)MI93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart117116

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: 6305737156View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YMO
Physician AssistantMI
Pulmonary Disease, Critical Care (Intensivists)MI
Cardiac ElectrophysiologyMI
Neurology, NeuropsychiatryMI
-MI
-MI
Rheumatology, Internal MedicineMI
Cardiovascular Disease (Cardiology)MI
P O D I A T R YMI

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1942280003.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Interventional Cardiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Saginaw?
Public fields place Unknown Individual around Saginaw, Michigan. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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