Unknown Individual – Cardiovascular Disease Physician, NPI 1902096043

Cardiovascular Disease Physician

Unknown Individual is a healthcare provider. based in Longmeadow, Massachusetts. specializing in Cardiovascular Disease Physician. They hold a License No. 23651 (MA). The NPI Number for Unknown Individual is 1902096043

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1902096043

Phone

(413) 567-8807

Address

92 DEEPWOODS DR

Deactivation Date

17 December 2021

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

Provider Addresses for Unknown Individual

92 DEEPWOODS DR
LONGMEADOW, MA 011062135
Phone: (413) 567-8807
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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01106)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?

NPI 1902096043 is assigned to Unknown Individual under the national enumeration system.

How do I interpret inactive records for Unknown Individual?

Treat inactive as a signal to verify Unknown Individual through official channels.

What does Unknown Individual treat or focus on?

Patients typically see Unknown Individual under the specialty Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.

What location metadata exists for Unknown Individual?

The page summarizes Longmeadow, Massachusetts for Unknown Individual; expand the address list for detail.

Is this NPI for an individual or an organization?

This listing corresponds to an Individual Provider.