Unknown Individual – Cardiovascular Disease Physician, NPI 1316949639

Unknown Individual is a healthcare provider. based in Waco, Texas. specializing in Cardiovascular Disease Physician. They hold a License No. D7681 (TX). The NPI Number for Unknown Individual is 1316949639

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1316949639
Phone
(254) 399-5400
Address
PO BOX 21327
Deactivation Date
20 March 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

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Provider Addresses for Unknown Individual

  • PO BOX 21327

    WACO, TX 767021327

    Phone: (254) 399-5400

    Fax: (254) 772-8669

    Type: Mailing

  • Sanger Avenue, Waco, McLennan County, Texas, 76703, United States

    STE A

    WACO, TX 767124054

    Phone: (254) 399-5400

    Fax: (254) 772-8669

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $3,276.

Total Amount is formed as General ($3,276) + Research ($0) + Ownership ($0) = $3,276.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: BIOTRONIK INC. ($1,065).

Total Amount

$3,276

General + Research + Ownership

Payments

35

Total payment records

General Amount

$3,276

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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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 76702)

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Provider's Procedures

Unknown Individual performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)TX78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies173172
CARDIOVASCULAR DISEASE (CARDIOLOGY)TX93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1818

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1316949639 — is the standard way to identify this listing.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Waco, Texas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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