Unknown Individual – Interventional Cardiology Physician, NPI 1477617686

Unknown Individual is a healthcare provider. based in Klamath falls, Oregon. specializing in Interventional Cardiology Physician. They hold a License No. MD11676 (OR). The NPI Number for Unknown Individual is 1477617686

Main info

Organization
Inactive
56 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1477617686
Phone
(541) 884-6233
Address
2614 CLOVER ST
Deactivation Date
22 May 2024

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1970 (56 years ago)
PAC ID
6204854284
Professional Enrollment ID
I20051108000760
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

  • 2614, Clover Street, Klamath Falls, Klamath County, Oregon, 97601, United States

    KLAMATH FALLS, OR 976011132

    Phone: (541) 884-6233

    Fax: (541) 880-2840

    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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1,352928$0
93227Electrocardiogram (ecg) 2-day continuous with review by health care professional5353$0
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days1818$0
93286Programming of single, dual, or multiple lead or leadless pacemaker system before or after surgery1212$0
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Insurance plans in this area (ZIP 97601)

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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)OR93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report16541030
CARDIOVASCULAR DISEASE (CARDIOLOGY)OR93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart1717

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1477617686.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Klamath Falls, Oregon may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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