Unknown Individual – Otolaryngology Physician, NPI 1275724932

Unknown Individual is a healthcare provider. based in Greenwood village, Colorado. specializing in Otolaryngology Physician. They hold a License No. 0053853 (CO). The NPI Number for Unknown Individual is 1275724932

Main info

Organization
Inactive
19 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1275724932
Phone
(303) 792-3242
Address
7400 E CRESTLINE CIR
Deactivation Date
22 March 2022

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
0547489965
Group Practice PAC ID
0941110886
Professional Enrollment ID
I20140917002506
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

  • 7400, East Crestline Circle, Greenwood Village, Arapahoe County, Colorado, 80111, United States

    SUITE 100

    GREENWOOD VILLAGE, CO 801113652

    Phone: (303) 792-3242

    Fax: (303) 792-9403

    Mailing address matches the actual address.

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 80111)

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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: 0941110886View full group profile
NameSpecialtyState
-CO
O B S T E T R I C S/ G Y N E C O L O G YCO
Nurse PractitionerCO
Internal MedicineCO
Physician AssistantCO
Family PracticeCO
Physician AssistantCO
-CO
Internal MedicineCO
N E U R O L O G YCO

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1275724932 in the public NPI dataset.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Greenwood Village, Colorado as a primary anchor for Unknown Individual unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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