Unknown Individual – Infectious Disease Physician, NPI 1750366399

Unknown Individual is a healthcare provider. based in Denver, Colorado. specializing in Infectious Disease Physician. They hold a License No. 30415 (CO). The NPI Number for Unknown Individual is 1750366399

Main info

Organization
Inactive
38 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1750366399
Phone
(303) 393-8050
Address
4545 E 9TH AVE
Deactivation Date
17 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
3035152316
Graduation Year
1988 (38 years ago)
PAC ID
7012904386
Group Practice PAC ID
5193001535
Professional Enrollment ID
I20040428000941
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

  • Physician Office Building One, 4545, East 9th Avenue, Denver, Denver County, Colorado, 80220, United States

    SUITE 120

    DENVER, CO 802203901

    Phone: (303) 393-8050

    Fax: (303) 320-1953

    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 80220)

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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: 5193001535View full group profile
NameSpecialtyState
DR. DANA THAYER LERMAN (MD)
-MD

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1750366399 as the unique 10-digit identifier.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Infectious Disease Physician. Clinical services aligned with this taxonomy classification.
Where in Colorado is Unknown Individual registered?
Use Denver, Colorado as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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