Unknown Individual – Internal Medicine Physician, NPI 1285743419

Unknown Individual is a healthcare provider. based in Torrington, Connecticut. specializing in Internal Medicine Physician. They hold a License No. 000290 (CT). The NPI Number for Unknown Individual is 1285743419

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1285743419
Phone
(860) 489-0931
Address
469 MIGEON AVE
Deactivation Date
17 January 2024

Doctor Profile

Medical School Name
UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Secondary Phone
8604890931
Graduation Year
1985 (41 years ago)
PAC ID
8325311129
Group Practice PAC ID
2365436847
Professional Enrollment ID
I20170830000303
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

  • 469, Migeon Avenue, Torrington, Litchfield County, Connecticut, 06790, United States

    TORRINGTON, CT 067904643

    Phone: (860) 489-0931

    Type: Mailing

  • 185, Albert Street, Torrington, Northwest Hills Planning Region, Connecticut, 06790, United States

    TORRINGTON, CT 06790

    Phone: (860) 496-8077

    Fax: (860) 482-2181

    Type: Location

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 06790)

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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: 2365436847View full group profile
NameSpecialtyState
Nurse PractitionerCT
Nurse PractitionerFL
Nurse PractitionerCT
Nurse PractitionerCT
-NY
P S Y C H I A T R YCT
-VT
Clinical Social WorkerCT
Clinical Social WorkerCT
Clinical Social WorkerCT

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1285743419 — is the standard way to identify this listing.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Torrington, Connecticut in our summary view.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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