Unknown Individual – Obstetrics & Gynecology Physician, NPI 1073601597

Unknown Individual is a healthcare provider. based in Denver, Colorado. specializing in Obstetrics & Gynecology Physician. They hold a License No. 38983 (CO). The NPI Number for Unknown Individual is 1073601597

Main info

Organization
Inactive
30 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1073601597
Phone
(303) 788-8808
Address
4900 S MONACO ST
Deactivation Date
26 March 2026

Doctor Profile

Medical School Name
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Secondary Phone
7203721897
Graduation Year
1996 (30 years ago)
PAC ID
4486757614
Group Practice PAC ID
6608765060
Professional Enrollment ID
I20070308000485
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

  • South Monaco Street, Denver, Colorado, 80237, United States

    SUITE 210

    DENVER, CO 802373486

    Phone: (303) 788-8808

    Fax: (303) 788-6656

    Type: Mailing

  • 701, East Hampden Avenue, Englewood, Arapahoe County, Colorado, 80113, United States

    SUITE 110

    ENGLEWOOD, CO 801132736

    Phone: (303) 788-8808

    Fax: (303) 788-6656

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $240.

Total Amount is formed as General ($240) + Research ($0) + Ownership ($0) = $240.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: ABBVIE INC. ($84).

Total Amount

$240

General + Research + Ownership

Payments

14

Total payment records

General Amount

$240

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

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
99214Established patient office or other outpatient visit, 30-39 minutes1815$0
99213Established patient office or other outpatient visit, 20-29 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 80237)

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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: 6608765060View full group profile
NameSpecialtyState
-CO
-CO
Nurse PractitionerCO
O B S T E T R I C S/ G Y N E C O L O G YCO
-CO
Nurse PractitionerCO
O B S T E T R I C S/ G Y N E C O L O G YCO
Nurse PractitionerCO
Nurse PractitionerCO
O B S T E T R I C S/ G Y N E C O L O G YCO

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1073601597 for Unknown Individual.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Denver, Colorado. Check all listed addresses for suites or satellite offices.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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