Unknown Individual – Cardiovascular Disease Physician, NPI 1902802200

Unknown Individual is a healthcare provider. based in Amarillo, Texas. specializing in Cardiovascular Disease Physician. They hold a License No. M2494 (TX). The NPI Number for Unknown Individual is 1902802200

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1902802200
Phone
(806) 358-4596
Address
1901 PORT LANE
Deactivation Date
4 April 2022
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

  • 1901, Port Lane, Amarillo, Potter County, Texas, 79106, United States

    AMARILLO HEART GROUP

    AMARILLO, TX 791062430

    Phone: (806) 358-4596

    Fax: (806) 468-0240

    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 79106)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1902802200 uniquely identifies Unknown Individual in U.S. healthcare data.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Amarillo, Texas in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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