Unknown Individual – Critical Care Medicine (Internal Medicine) Physician, NPI 1669481107

Unknown Individual is a healthcare provider. based in Redding, California. specializing in Critical Care Medicine (Internal Medicine) Physician. They hold a License No. G85151 (CA). The NPI Number for Unknown Individual is 1669481107

Main info

Organization
Inactive
42 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1669481107
Phone
(530) 232-3000
Address
PO BOX 496084
Deactivation Date
30 October 2024

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
5302323000
Graduation Year
1984 (42 years ago)
PAC ID
9436049954
Group Practice PAC ID
0547228884
Professional Enrollment ID
I20040318000718
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Jack in the Box, Railroad Avenue, Redding, Shasta County, California, 96001, United States

    REDDING, CA 960496084

    Phone: (530) 232-3000

    Fax: (530) 242-8545

    Type: Mailing

  • 180, Northpoint Drive, Redding, Shasta County, California, 96003, United States

    REDDING, CA 960032510

    Phone: (530) 232-3000

    Fax: (530) 242-8545

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $405.

Total Amount is formed as General ($405) + Research ($0) + Ownership ($0) = $405.

Last reported payment date: 2024-08-13 • Largest payer in this snapshot: Amgen Inc. ($115).

Total Amount

$405

General + Research + Ownership

Payments

6

Total payment records

General Amount

$405

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1,137297$0
99213Established patient office or other outpatient visit, 20-29 minutes543420$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)538224$0
90935Hemodialysis procedure with physician evaluation418133$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes233203$0
View full utilization report →

Insurance plans in this area (ZIP 96049)

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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: 0547228884View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists)CA
Nephrology, Critical Care (Intensivists)CA
Nephrology, Critical Care (Intensivists)CA
Addiction Medicine, Geriatric Medicine, Nephrology, Internal MedicineCA
-CA

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1669481107 as the unique 10-digit identifier.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Critical Care Medicine (Internal Medicine) Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Redding?
Public fields place Unknown Individual around Redding, California. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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