Unknown Individual – Interventional Cardiology Physician, NPI 1336183508

Unknown Individual is a healthcare provider. based in Lincoln, Nebraska. specializing in Interventional Cardiology Physician. They hold a License No. 20442 (NE). The NPI Number for Unknown Individual is 1336183508

Main info

Organization
Inactive
37 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1336183508
Phone
(402) 483-3333
Address
1600 S 48TH ST
Deactivation Date
12 June 2025

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
4024896555
Graduation Year
1989 (37 years ago)
PAC ID
7810915246
Group Practice PAC ID
3173793676
Professional Enrollment ID
I20080716000138
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • William Jennings Bryan, 1600, South 48th Street, Piedmont, Lincoln, Lancaster County, Nebraska, 68510, United States

    SUITE 600

    LINCOLN, NE 685061275

    Phone: (402) 483-3333

    Fax: (402) 483-3297

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $256.

Total Amount is formed as General ($256) + Research ($0) + Ownership ($0) = $256.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Impulse Dynamics (USA) Inc. ($181).

Total Amount

$256

General + Research + Ownership

Payments

5

Total payment records

General Amount

$256

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

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 report3737$0
99214Established patient office or other outpatient visit, 30-39 minutes3231$0
99213Established patient office or other outpatient visit, 20-29 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 68506)

Loading plans...

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: 3173793676View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)NE
-NE
-NE
Cardiovascular Disease (Cardiology)KS
-NE
-NE
Cardiovascular Disease (Cardiology), Advanced Heart Failure And Transplant Cardiology, Nuclear MedicineNE
-NE
-NE
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)NE

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1336183508 if you need a stable reference for Unknown Individual.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Lincoln, Nebraska for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

NEBRASKA HEART INSTITUTE PC

Cardiovascular Disease Physician
Lincoln Community Playhouse, 2500, South 56th Street, Constables Lakeside, Normal, Lincoln, Lancaster County, Nebraska, 68506, United States
NPI: 1336125202

MATTHEW EUGENE JOHNSON (M.D.)

Interventional Cardiology Physician
William Jennings Bryan, 1600, South 48th Street, Piedmont, Lincoln, Lancaster County, Nebraska, 68510, United States
NPI: 1578536488

BRYAN HEART

Cardiovascular Disease Physician
PO BOX 860879
NPI: 1982653515

VISHWAJETH B BHOOPALAM (MD)

Interventional Cardiology Physician
7440 S 91st St
NPI: 1831119841

HARPAUL BAJWA (MD)

Interventional Cardiology Physician
The Physicians Network, 7440, South 91st Street, Pine Lake, Lincoln, Lancaster County, Nebraska, 68526, United States
NPI: 1972523983

DR. PANAYOTIS-ALAIN EFSTRATIOU (MD)

Interventional Cardiology Physician
401 E Spruce St
NPI: 1083623706

DALE A. HANSEN (MD)

Interventional Cardiology Physician
William Jennings Bryan, 1600, South 48th Street, Piedmont, Lincoln, Lancaster County, Nebraska, 68510, United States
NPI: 1497869010

DR. DOUGLAS LEE KOSMICKI (M.D.)

Interventional Cardiology Physician
The Physicians Network, 7440, South 91st Street, Pine Lake, Lincoln, Lancaster County, Nebraska, 68526, United States
NPI: 1295840130