Unknown Individual – Cardiovascular Disease Physician, NPI 1962405936
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Roosevelt Boulevard, Philadelphia, Philadelphia County, Pennsylvania, 19053, United States
STE 305
PHILADELPHIA, PA 191141028
Phone: (215) 671-4280
Fax: (215) 464-9034
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)
CMS reports 1 Open Payments records for all available years, with a total value of $26.
Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.
Last reported payment date: 2023-04-17 • Largest payer in this snapshot: Boston Scientific Corporation ($26).
Total Amount
$26
General + Research + Ownership
Payments
1
Total payment records
General Amount
$26
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $26 |
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 19114)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | PA | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 109 | 109 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | PA | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 788 | 616 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | PA | 93922 | Ultrasound study of arteries of both arms and legs | 39 | 39 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| General Surgery | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| - | PA | |
| - | PA | |
| - | PA | |
| E N D O C R I N O L O G Y | PA | |
| Emergency Medicine | PA | |
| U R O L O G Y | SC | |
| - | PA |
Reviews
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