Unknown Individual – Interventional Cardiology Physician, NPI 1477521441

Unknown Individual is a healthcare provider. based in Omaha, Nebraska. specializing in Interventional Cardiology Physician. They hold a License No. 11340 (NE). The NPI Number for Unknown Individual is 1477521441

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1477521441
Phone
Not provided
Address
PO BOX 642117
Deactivation Date
13 January 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

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Provider Addresses for Unknown Individual

  • Ice Box, Omaha Boulevard, El Paso County, Colorado, 80915, United States

    OMAHA, NE 681648117

    Phone:

    Type: Mailing

  • CHI Health Creighton University Medical Center - Bergan Mercy, 7500, Mercy Road, Omaha, Douglas County, Nebraska, 68124, United States

    OMAHA, NE 681242319

    Phone: (402) 398-5880

    Fax: (402) 398-6716

    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.

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 68164)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1477521441 — the number used across U.S. healthcare to identify this provider.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Omaha, Nebraska.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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