Unknown Individual – Nephrology Physician, NPI 1023118049

Unknown Individual is a healthcare provider. based in Aurora, Colorado. specializing in Nephrology Physician. They hold a License No. 37120 (CO). The NPI Number for Unknown Individual is 1023118049

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1023118049
Phone
(303) 493-7000
Address
PO BOX 110429
Deactivation Date
20 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7208480000
Graduation Year
1983 (43 years ago)
PAC ID
2062432958
Group Practice PAC ID
3476465667
Professional Enrollment ID
I20051207000332
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 110429

    AURORA, CO 800420429

    Phone: (303) 493-7000

    Type: Mailing

  • University of Colorado Hospital, 12605, East 16th Avenue, Aurora, Adams County, Colorado, 80045, United States

    AURORA, CO 800452545

    Phone: (720) 848-0000

    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.

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 80042)

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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
NEPHROLOGYCO90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older3317

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: 3476465667View full group profile
NameSpecialtyState
-CO
Advanced Heart Failure And Transplant Cardiology, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineCO
Emergency MedicineCO
-CO
-CO
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YCO
A N E S T H E S I O L O G YIL
Infectious Disease, Internal MedicineCO
A N E S T H E S I O L O G YCO

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1023118049.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Nephrology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Aurora, Colorado for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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