Unknown Individual – Cardiovascular Disease Physician, NPI 1023098894

Unknown Individual is a healthcare provider. based in Pottstown, Pennsylvania. specializing in Cardiovascular Disease Physician. They hold a License No. MD025758E (PA). The NPI Number for Unknown Individual is 1023098894

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1023098894
Phone
(610) 327-4200
Address
1601 MEDICAL DR
Deactivation Date
26 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6103268005
Graduation Year
1979 (47 years ago)
PAC ID
4789774613
Group Practice PAC ID
8224024096
Professional Enrollment ID
I20090115000449
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

  • Pottstown Hospital Imaging Center, 1616, Medical Drive, Pottstown, Montgomery County, Pennsylvania, 19464, United States

    POTTSTOWN, PA 194643241

    Phone: (610) 327-4200

    Fax: (610) 327-8160

    Type: Mailing

  • Pottstown Hospital Imaging Center, 1616, Medical Drive, Sanatoga, Pottstown, Montgomery County, Pennsylvania, 19464, United States

    POTTSTOWN, PA 19464

    Phone: (610) 326-8005

    Fax: (610) 718-0788

    Type: Location

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 19464)

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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)PA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies143143
CARDIOVASCULAR DISEASE (CARDIOLOGY)PA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report987724
CARDIOVASCULAR DISEASE (CARDIOLOGY)PA93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report8144
CARDIOVASCULAR DISEASE (CARDIOLOGY)PA93284Evaluation, testing and programming adjustment of defibrillator with analysis, review and report3718

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: 8224024096View full group profile
NameSpecialtyState
Family PracticePA
Family PracticePA
-PA
Physician AssistantPA
Family PracticePA
Registered Dietitian Or Nutrition ProfessionalPA
Rheumatology, Internal MedicineNJ
Nurse PractitionerPA
-PA
Nurse PractitionerPA

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1023098894.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Pottstown, Pennsylvania?
For routing, start with Pottstown, Pennsylvania for Unknown Individual, then verify phone and hours locally.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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