Unknown Individual – Audiologist, NPI 1285702324

Unknown Individual is a healthcare provider. based in Willimantic, Connecticut. specializing in Audiologist. They hold a License No. 000046 (CT). The NPI Number for Unknown Individual is 1285702324

Main info

Organization
Inactive
54 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1285702324
Phone
(860) 456-0287
Address
36 WATSON ST
Deactivation Date
16 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8604560287
Graduation Year
1972 (54 years ago)
PAC ID
9739243536
Group Practice PAC ID
3375605694
Professional Enrollment ID
I20090122000463
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

  • 36, Watson Street, Willimantic, Windham, Southeastern Connecticut Planning Region, Connecticut, 06226, United States

    WILLIMANTIC, CT 062262122

    Phone: (860) 456-0287

    Fax: (860) 456-3532

    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 06226)

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Provider's Procedures

Unknown Individual performs procedures in Audiologist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
QUALIFIED AUDIOLOGISTCT92567Eardrum testing using ear probe230225

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: 3375605694View full group profile

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1285702324; it appears in the national provider directory.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Audiologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Willimantic, Connecticut for Unknown Individual; expand the address list for detail.
What if Willimantic, Connecticut seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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