Unknown Individual – Interventional Cardiology Physician, NPI 1689667966

Unknown Individual is a healthcare provider. based in St petersburg, Florida. specializing in Interventional Cardiology Physician. They hold a License No. ME43365 (FL). The NPI Number for Unknown Individual is 1689667966

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1689667966
Phone
(727) 544-1441
Address
5398 PARK ST N
Deactivation Date
27 February 2025
Data current as of
19 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

  • Park Street North, Saint Petersburg, Pinellas County, Florida, 33707, United States

    ST PETERSBURG, FL 337091041

    Phone: (727) 544-1441

    Fax: (727) 545-8263

    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.

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 33709)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1689667966 — the number used across U.S. healthcare to identify this provider.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near St Petersburg?
Unknown Individual currently maps to St Petersburg, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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