Unknown Individual – Cardiovascular Disease Physician, NPI 1730161274

Unknown Individual is a healthcare provider. based in Cleveland, Texas. specializing in Cardiovascular Disease Physician. They hold a License No. G4194 (TX). The NPI Number for Unknown Individual is 1730161274

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1730161274
Phone
(281) 592-1515
Address
110 E CROCKETT ST
Deactivation Date
10 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1974 (52 years ago)
PAC ID
7012071954
Professional Enrollment ID
I20090124000077
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

  • 110, East Crockett Street, Cleveland, Liberty County, Texas, 77327, United States

    CLEVELAND, TX 773274044

    Phone: (281) 592-1515

    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)

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.

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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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0153Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)1,82437$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report22362$0
99214Established patient office or other outpatient visit, 30-39 minutes16660$0
93975Complete ultrasound of abdomen and pelvis artery and vein blood flow7839$0
99215Established patient office or other outpatient visit, 40-54 minutes6745$0
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Insurance plans in this area (ZIP 77327)

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Provider's Procedures

Unknown Individual performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)TX93922Ultrasound study of arteries of both arms and legs173171
CARDIOVASCULAR DISEASE (CARDIOLOGY)TX93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers1818
CARDIOVASCULAR DISEASE (CARDIOLOGY)TX96375Injection of different drug or substance into a vein for therapy, diagnosis, or prevention6765

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1730161274.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Cardiovascular Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Cleveland, Texas in our summary view.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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