Unknown Individual – Cardiovascular Disease Physician, NPI 1710143458
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
221, Regency Parkway, Walnut Landing, Mansfield, Tarrant County, Texas, 76063, United States
SUITE 105
MANSFIELD, TX 760635379
Phone: (214) 884-7525
Fax: (214) 884-7551
Type: Location
Cedar Hill, Box Elder County, Utah, United States
CEDAR HILL, TX 751064532
Phone: (214) 884-7525
Fax: (214) 884-7551
Type: Mailing
2727 Bolton Boone Dr Ste 112
DeSoto, TX 751152019
Phone: (214) 884-7525
Type: Location
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 $25.
Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.
Last reported payment date: 2023-04-14 • Largest payer in this snapshot: Boston Scientific Corporation ($25).
Total Amount
$25
General + Research + Ownership
Payments
1
Total payment records
General Amount
$25
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $25 |
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.
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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 76063)
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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 | 58 | 58 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | TX | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 58 | 55 |
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