Unknown Individual – Nephrology Physician, NPI 1649276650

Unknown Individual is a healthcare provider. based in Montgomery, Alabama. specializing in Nephrology Physician. They hold a License No. 00015063 (AL). The NPI Number for Unknown Individual is 1649276650

Main info

Organization
Inactive
42 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1649276650
Phone
(334) 288-0814
Address
4760 WOODMERE BLVD
Deactivation Date
17 January 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
3345667266
Graduation Year
1984 (42 years ago)
PAC ID
0749345833
Group Practice PAC ID
6608894019
Professional Enrollment ID
I20090225000148
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

Loading map...

Provider Addresses for Unknown Individual

  • 4760, Woodmere Boulevard, Brookwood Estates, Montgomery, Montgomery County, Alabama, 36106, United States

    MONTGOMERY, AL 361063065

    Phone: (334) 288-0814

    Fax: (334) 288-3417

    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 36106)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Nephrology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYAL90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older263203

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608894019View full group profile
NameSpecialtyState
N E P H R O L O G YAL
Nephrology, Internal MedicineCO
N E P H R O L O G YAL
Nephrology, Internal MedicineAL
N E P H R O L O G YAL
N E P H R O L O G YMT
Nurse PractitionerAL
Physician AssistantGA
Nephrology, Internal MedicineAL

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

Can I cross-check Unknown Individual using NPI 1649276650?
NPI 1649276650 belongs to Unknown Individual; compare other details if you need extra assurance.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Nephrology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Montgomery?
Unknown Individual currently maps to Montgomery, Alabama in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

Similar Providers

ROBERT BOYD JR. HOIT (MD)

Nephrology Physician
Woodmere Boulevard, Bellwood Plantation, Montgomery, Montgomery County, Alabama, 36117, United States
NPI: 1285638247

RODNEY TERRELL SMITH (MD)

Nephrology Physician
4760, Woodmere Boulevard, Brookwood Estates, Montgomery, Montgomery County, Alabama, 36106, United States
NPI: 1215931191

MELANIE HALVORSON (M.D.)

Nephrology Physician
4760, Woodmere Boulevard, Brookwood Estates, Montgomery, Montgomery County, Alabama, 36106, United States
NPI: 1265438527
4760, Woodmere Boulevard, Brookwood Estates, Montgomery, Montgomery County, Alabama, 36106, United States
NPI: 1881659423
4516 E HIGHWAY 20
NPI: 1508804733

DR. AVINASH C PRADHAN (MD)

Nephrology Physician
215, Perry Hill Road, Sherwood, Montgomery, Montgomery County, Alabama, 36109, United States
NPI: 1902911670
MONTGOMERY KIDNEY SPECIALISTS
NPI: 1417055179

DR. JOGY VARGHESE (M.D.)

Nephrology Physician
4163, Lomac Street, Brookwood Estates, Montgomery, Montgomery County, Alabama, 36106, United States
NPI: 1841380284
4163, Lomac Street, Brookwood Estates, Montgomery, Montgomery County, Alabama, 36106, United States
NPI: 1922198373