Unknown Individual – Foot Surgery Podiatrist, NPI 1346216900

Unknown Individual is a healthcare provider. based in Waterford, Connecticut. specializing in Foot Surgery Podiatrist. They hold a License No. 000504 (CT). The NPI Number for Unknown Individual is 1346216900

Main info

Organization
Inactive
37 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1346216900
Phone
(860) 442-7027
Address
196 PARKWAY S
Deactivation Date
3 July 2024

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
8608757078
Graduation Year
1989 (37 years ago)
PAC ID
1951492768
Group Practice PAC ID
4789775594
Professional Enrollment ID
I20100910000971
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

  • Parkway, Tramore, Waterford City Metropolitan District, County Waterford, Munster, Ireland

    SUITE 304

    WATERFORD, CT 063851234

    Phone: (860) 442-7027

    Fax: (860) 444-0074

    Type: Mailing

  • 351, Merline Road, Vernon Center, Vernon, Tolland County, Connecticut, 06066, United States

    SUITE 101

    VERNON, CT 060664040

    Phone: (860) 875-8275

    Fax: (860) 875-8991

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2024-03-04 • Largest payer in this snapshot: Stryker Corporation ($29).

Total Amount

$29

General + Research + Ownership

Payments

1

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$29
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
G0127Trimming of dystrophic nails, any number8141$0
99213Established patient office or other outpatient visit, 20-29 minutes4840$0
99203New patient office or other outpatient visit, 30-44 minutes3939$0
99202New patient office or other outpatient visit, 15-29 minutes3838$0
11721Removal of fingernails or toenails, 6 or more nails3017$0
View full utilization report →

Insurance plans in this area (ZIP 06385)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1346216900 — is the standard way to identify this listing.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Foot Surgery Podiatrist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Waterford, Connecticut may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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