Unknown Individual – Pediatric Cardiology Physician, NPI 1881775674

Unknown Individual is a healthcare provider. based in Salt lake city, Utah. specializing in Pediatric Cardiology Physician. They hold a License No. 317634-6002 (UT). The NPI Number for Unknown Individual is 1881775674

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1881775674
Phone
(801) 213-3800
Address
PO BOX 581100
Deactivation Date
27 April 2022

Contacts

Secure Messaging
ECLARK382659@DIRECT.MED.UTAH.EDU
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • PO BOX 581100

    SALT LAKE CITY, UT 841581100

    Phone: (801) 213-3800

    Type: Mailing

  • 100, North Medical Drive, Salt Lake City, Salt Lake County, Utah, 84113, United States

    SALT LAKE CITY, UT 841131103

    Phone: (801) 588-2000

    Type: Location

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 84158)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1881775674 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Pediatric Cardiology Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Salt Lake City, Utah because that is what the record indicates for Unknown Individual.
What if Salt Lake City, Utah seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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