Unknown Individual – Cardiovascular Disease Physician, NPI 1154315836

Unknown Individual is a healthcare provider. based in Mentor, Ohio. specializing in Cardiovascular Disease Physician. They hold a License No. 35028956 (OH). The NPI Number for Unknown Individual is 1154315836

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1154315836
Phone
(440) 942-5400
Address
7200 MENTOR AVE
Deactivation Date
1 January 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

  • 7200, Mentor Avenue, Midland Moor, The Reserves of Willoughby, Mentor, Lake County, Ohio, 44060, United States

    MENTOR, OH 440607522

    Phone: (440) 942-5400

    Fax: (440) 942-9055

    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.

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 44060)

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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 1154315836 for Unknown Individual.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
How should patients interpret Unknown Individual's specialty?
The extract shows Cardiovascular Disease Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Mentor, Ohio?
For routing, start with Mentor, Ohio for Unknown Individual, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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