Unknown Individual – Cardiovascular Disease Physician, NPI 1174514764

Unknown Individual is a healthcare provider. based in Boston, Massachusetts. specializing in Cardiovascular Disease Physician. They hold a License No. 24600 (MA). The NPI Number for Unknown Individual is 1174514764

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1174514764
Phone
Not provided
Address
PO BOX 415348
Deactivation Date
19 March 2026
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

  • PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States

    BOSTON, MA 022415348

    Phone:

    Type: Mailing

  • UMASS Memorial Medical Center University Campus Hospital, 55, Lake Avenue North, Worcester, Worcester County, Massachusetts, 01653, United States

    WORCESTER, MA 016550002

    Phone: (508) 856-3603

    Fax: (508) 856-5207

    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.

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Medicare Enrollment & Revalidation

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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 02241)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1174514764 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Massachusetts?
You will see Boston, Massachusetts on file for Unknown Individual alongside any extra practice locations.
What if Boston, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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