Unknown Individual – Urology Physician, NPI 1174635593

Unknown Individual is a healthcare provider. based in Golden, Colorado. specializing in Urology Physician. They hold a License No. 30949 (CO). The NPI Number for Unknown Individual is 1174635593

Main info

Organization
Inactive
37 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1174635593
Phone
Not provided
Address
400 INDIANA ST STE 300
Deactivation Date
21 November 2024

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
3036956106
Graduation Year
1989 (37 years ago)
PAC ID
1557353372
Group Practice PAC ID
2365346558
Professional Enrollment ID
I20070418000101
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

Provider Addresses for Unknown Individual

  • 400 INDIANA ST STE 300

    GOLDEN, CO 804015027

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $165.

Total Amount is formed as General ($165) + Research ($0) + Ownership ($0) = $165.

Last reported payment date: 2024-05-07 • Largest payer in this snapshot: COLOPLAST CORP ($63).

Total Amount

$165

General + Research + Ownership

Payments

5

Total payment records

General Amount

$165

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-07

Latest reported date

Top Companies

Largest payers in this snapshot

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
50590Shock wave crushing of kidney stones1414$0
View full utilization report →

Insurance plans in this area (ZIP 80401)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Urology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYCO51798Ultrasound measurement of bladder capacity after voiding403242

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: 2365346558View full group profile
NameSpecialtyState
Physician AssistantCO
U R O L O G YCO
U R O L O G YCO
U R O L O G YCO
U R O L O G YWI
Radiation OncologyCO
U R O L O G YPA
U R O L O G YTX
Physician AssistantMD
U R O L O G YCO

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

How do I look up Unknown Individual by NPI?
Use NPI 1174635593 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Urology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Golden, 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.

Similar Providers

DEREK ZUKOSKY (DO)

Urology Physician
400 INDIANA ST STE 300
NPI: 1912942038

DAVID J CAHN (MD)

Urology Physician
400 INDIANA ST STE 300
NPI: 1275561748

David J. Cahn, MD, PC

Urology Physician
Red Rocks Medical Center, 400, Indiana Street, Golden, Jefferson County, Colorado, 80401, United States
NPI: 1780617795
33424 DEEP FOREST RD
NPI: 1720172059
400 Indiana St Ste 300
NPI: 1174844245

DR. THOMAS M FACELLE (MD)

Urology Physician
PO BOX 29048
NPI: 1114227501

ADVANCED UROLOGY, PLLC

Urology Physician
25 CROSSROADS DR STE 306
NPI: 1972153559