Unknown Individual – Cardiovascular Disease Physician, NPI 1619957057

Cardiovascular Disease Physician

Unknown Individual is a healthcare provider. based in Scarborough, Maine. specializing in Cardiovascular Disease Physician. They hold a License No. 010203 (ME). The NPI Number for Unknown Individual is 1619957057

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1619957057

Phone

(207) 396-5611

Address

96 CAMPUS DR

Deactivation Date

23 April 2026

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

96, Campus Drive, Cumberland County, Maine, 04074, United States
SUITE 1
SCARBOROUGH, ME 040747133
Phone: (207) 396-5611
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 $124.

Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.

Last reported payment date: 2023-08-10 • Largest payer in this snapshot: ABIOMED ($124).

Total Amount

$124

General + Research + Ownership

Payments

Total payment records

General Amount

$124

General payments

Research Amount

Research funding

Ownership Amount

Ownership interests

Ownership Count

Ownership records

Last Payment Date

2023-08-10

Latest reported date

Top Companies

Largest payers in this snapshot

Company	Amount
ABIOMED	$124

View all Open Payments →|Open Payments Risk Radar →

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 04074)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?

Administrative and clinical systems typically use NPI 1619957057 for Unknown Individual.

Should I call the clinic if Unknown Individual is inactive here?

If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.

Is Unknown Individual tied to Scarborough, Maine?

If you are local to Scarborough, Maine, Unknown Individual may be relevant to your search.

Why is information missing for Unknown Individual?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.