Unknown Individual – Cardiovascular Disease Physician, NPI 1417915331

Unknown Individual is a healthcare provider. based in Blue bell, Pennsylvania. specializing in Cardiovascular Disease Physician. They hold a License No. 73609 (MA). The NPI Number for Unknown Individual is 1417915331

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1417915331
Phone
(610) 270-0506
Address
114 BIRKDALE DR
Deactivation Date
16 October 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

Provider Addresses for Unknown Individual

  • 114 BIRKDALE DR

    BLUE BELL, PA 194223267

    Phone: (610) 270-0506

    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 19422)

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

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1417915331.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Cardiovascular Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Blue Bell, Pennsylvania as a primary anchor for Unknown Individual unless the record lists multiple sites.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

ALBERT JANKE (DO)

Cardiovascular Disease Physician
207, North Broad Street, Fashion District Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19121, United States
NPI: 1265437073

HUGH LIPSHUTZ (MD)

Cardiovascular Disease Physician
207, North Broad Street, Fashion District Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19121, United States
NPI: 1396740130

CHAKRAM NALINI (MD)

Cardiovascular Disease Physician
207, North Broad Street, Fashion District Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19121, United States
NPI: 1568467322

VINCENT QUINN (MD)

Cardiovascular Disease Physician
DeKalb Pike, Blue Bell Country Club, Franklinville, Whitpain Township, Montgomery County, Pennsylvania, 19422, United States
NPI: 1154326817

LEE KONECKE (MD)

Cardiovascular Disease Physician
207, North Broad Street, Fashion District Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19121, United States
NPI: 1508861337

STEVE VAGANOS (MD)

Interventional Cardiology Physician
1330 Powell St
NPI: 1427022490

METRO PHYSICIANS SPECIALTY GROUP, P.C.

Cardiovascular Disease Physician
930 Henrietta Ave Ste C
NPI: 1568407757

PHILIP R GOLDSTEIN (MD)

Cardiovascular Disease Physician
609 West Germantown Pike, Medical Arts Building
NPI: 1700895109

WAYNE V. ARNOLD (D.O.)

Cardiovascular Disease Physician
15 NORTH PRESIDENTIAL BLVD
NPI: 1346252186