Unknown Individual – Cardiovascular Disease Physician, NPI 1104896844
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
5308, North Galloway Avenue, Mesquite, Dallas County, Texas, 75150, United States
SUITE 100
MESQUITE, TX 751501122
Phone: (972) 226-0505
Fax: (972) 289-9640
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 $43.
Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.
Last reported payment date: 2023-04-10 • Largest payer in this snapshot: Abbott Laboratories ($43).
Total Amount
$43
General + Research + Ownership
Payments
1
Total payment records
General Amount
$43
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $43 |
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 75150)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | TX | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 110 | 110 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | TX | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 24 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Internal Medicine | WV | |
| - | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| General Surgery | NJ | |
| Nurse Practitioner | TX | |
| Family Practice | TX |
Reviews
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