Unknown Individual – Clinical Cardiac Electrophysiology Physician, NPI 1164424974

Unknown Individual is a healthcare provider. based in Saint cloud, Minnesota. specializing in Clinical Cardiac Electrophysiology Physician. They hold a License No. 30710 (MN). The NPI Number for Unknown Individual is 1164424974

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1164424974
Phone
(320) 252-5131
Address
1200 6TH AVE N
Deactivation Date
11 September 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

Loading map...

Provider Addresses for Unknown Individual

  • 1200, 6th Avenue North, St. Cloud, Stearns County, Minnesota, 56303, United States

    SAINT CLOUD, MN 563032735

    Phone: (320) 252-5131

    Fax: (320) 240-2118

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 56303)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1164424974 — the number used across U.S. healthcare to identify this provider.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Clinical Cardiac Electrophysiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Saint Cloud, Minnesota as the reference point for Unknown Individual, then confirm.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

Similar Providers

Unknown Individual

Pediatric Cardiology Physician
1200, 6th Avenue North, St. Cloud, Stearns County, Minnesota, 56303, United States
NPI: 1740273374

DR. HARDIK DOSHI (M.D.)

Clinical Cardiac Electrophysiology Physician
200 Hawkins Dr
NPI: 1811193196

ARCHANA RAJDEV (MD)

Clinical Cardiac Electrophysiology Physician
1950 NW MYHRE RD FL 3
NPI: 1992930101

DR. MOHSAN M CHAUDHRY (MD)

Clinical Cardiac Electrophysiology Physician
1200 6TH AVE N
NPI: 1285163212