Unknown Individual – Cardiovascular Disease Physician, NPI 1164580254

Unknown Individual is a healthcare provider. based in Hendersonville, Tennessee. specializing in Cardiovascular Disease Physician. They hold a License No. MD012032 (TN). The NPI Number for Unknown Individual is 1164580254

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1164580254
Phone
(615) 824-8344
Address
107 IMPERIAL BLVD STE 11
Deactivation Date
1 February 2023
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

  • Imperial Boulevard, Walnut Hills Estates, Hendersonville, Sumner County, Tennessee, 37075, United States

    ADULT CARDIOLOGIST PC

    HENDERSONVILLE, TN 37075

    Phone: (615) 824-8344

    Fax: (615) 824-8401

    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 37075)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1164580254 on file in the registry.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Hendersonville, Tennessee as the reference point for Unknown Individual, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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