Unknown Individual – Interventional Cardiology Physician, NPI 1366435810

Unknown Individual is a healthcare provider. based in Austin, Texas. specializing in Interventional Cardiology Physician. They hold a License No. G8845 (TX). The NPI Number for Unknown Individual is 1366435810

Main info

Organization
Inactive
42 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1366435810
Phone
(512) 206-4341
Address
7800 SHOAL CREEK BLVD. SUITE 205N
Deactivation Date
9 November 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
5122063600
Graduation Year
1984 (42 years ago)
PAC ID
8325074305
Group Practice PAC ID
7012821879
Professional Enrollment ID
I20050711000925
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 7800 SHOAL CREEK BLVD. SUITE 205N

    AUSTIN HEART PLLC

    AUSTIN, TX 78757

    Phone: (512) 206-4341

    Fax: (512) 407-1947

    Type: Mailing

  • Heart Hospital of Austin, 3801, North Lamar Boulevard, Rosedale, Austin, Travis County, Texas, 78756, United States

    STE 300

    AUSTIN, TX 787564080

    Phone: (512) 206-3600

    Fax: (512) 454-2581

    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 78757)

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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
INTERVENTIONAL CARDIOLOGYTX92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin2420
INTERVENTIONAL CARDIOLOGYTX93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report111106

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: 7012821879View full group profile
NameSpecialtyState
Nurse PractitionerTX
-TX
Interventional Cardiology, Cardiovascular Disease (Cardiology)TX
Thoracic Surgery, Cardiac SurgeryTX
-TX
Cardiovascular Disease (Cardiology)TX
Cardiovascular Disease (Cardiology), Internal Medicine, Pediatric MedicineTX
Cardiovascular Disease (Cardiology), Internal MedicineMS
Nurse PractitionerTX
-TX

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1366435810 in the public NPI dataset.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Austin, Texas may find Unknown Individual in results; validate coverage separately.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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