Unknown Individual – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1811146988

Unknown Individual is a healthcare provider. based in Nashville, Tennessee. specializing in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. They hold a License No. 57702 (TN). The NPI Number for Unknown Individual is 1811146988

Main info

Organization
Inactive
19 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1811146988
Phone
(615) 342-7341
Address
2400 PATTERSON ST STE 215
Deactivation Date
20 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6153427345
Graduation Year
2007 (19 years ago)
PAC ID
8921301557
Group Practice PAC ID
6800079963
Professional Enrollment ID
I20181204003924
Data current as of
20 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

  • Patterson Street, Radnor, Nashville, Davidson County, Tennessee, 37211, United States

    NASHVILLE, TN 37203

    Phone: (615) 342-7341

    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 2 Open Payments records for all available years, with a total value of $2,964.

Total Amount is formed as General ($2,964) + Research ($0) + Ownership ($0) = $2,964.

Last reported payment date: 2023-07-12 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($2,964).

Total Amount

$2,964

General + Research + Ownership

Payments

2

Total payment records

General Amount

$2,964

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
E.R. Squibb & Sons, L.L.C.$2,964
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
99215Established patient office or other outpatient visit, 40-54 minutes11192$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7022$0
31622Diagnostic exam of lung airway using an endoscope6564$0
99205New patient office or other outpatient visit, 60-74 minutes6161$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4039$0
View full utilization report →

Insurance plans in this area (ZIP 37203)

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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: 6800079963View full group profile
NameSpecialtyState
Cardiac SurgeryTN
Nurse PractitionerTN
Thoracic Surgery, General SurgeryTN
O T O L A R Y N G O L O G YTN
-TN
Pulmonary Disease, Internal MedicineTN
Nurse PractitionerGA
Physician AssistantTN
Internal MedicineTN
Plastic And Reconstructive SurgeryTN

Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1811146988 on file in the registry.
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 Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Nashville?
Unknown Individual currently maps to Nashville, Tennessee in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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