Unknown Individual – Otolaryngology Physician, NPI 1669453346

Otolaryngology Physician

Unknown Individual is a healthcare provider. based in New haven, Connecticut. specializing in Otolaryngology Physician. They hold a License No. 014828 (CT). The NPI Number for Unknown Individual is 1669453346

Main info

Organization

Inactive

60 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1669453346

Phone

(203) 785-7998

Address

PO BOX 9805

Deactivation Date

15 June 2021

Doctor Profile

Medical School Name

YALE UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

2037852140

Graduation Year

1966 (60 years ago)

PAC ID

2163557471

Group Practice PAC ID

9436061736

Professional Enrollment ID

I20100311000744

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

9805, Northwest Ash Street, West Haven, Portland, Metro, Washington County, Oregon, 97229, United States
300 GEORGE ST 6TH FLOOR
NEW HAVEN, CT 065360805
Phone: (203) 785-7998
Fax: (203) 785-6414
Type: Mailing
800, Howard Avenue, New Haven, New Haven County, Connecticut, 06519, United States
YALE PHYSICIANS BLDG
NEW HAVEN, CT 065191369
Phone: (203) 785-2593
Fax: (203) 785-3970
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 06536)

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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: 9436061736View full group profile

Name	Specialty	State
DR. BRIAN CHRISTOPHER CAMBI (M.D.)	Interventional Cardiology, Cardiovascular Disease (Cardiology)	CT
FRANCESCA MONTANARI (MD)	H E M A T O L O G Y/ O N C O L O G Y	CT
MS. MARYAM GONDAL (M.D.)	Internal Medicine, Nephrology	SC
MATTHEW JOSEPH MCCONNELL (M.D.)	-	CT
DR. DANICE KURUVILLA (M.D.)	-	NC
JEANETTE M TETRAULT (MD)	Internal Medicine	CT
LOUIS WANG (MD)	-	CT
DR. PRAMOD BONDE (MD)	Cardiac Surgery	CT
DR. LUMING LI (MD)	-	CT
Unknown Individual	-	CT

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?

Public records show Unknown Individual under NPI 1669453346.

What happens when Unknown Individual's NPI is not active?

Public data lists Unknown Individual outside the active bucket for this identifier.

Which specialty label fits Unknown Individual?

NPPES ties Unknown Individual to Otolaryngology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.

What city is tied to Unknown Individual?

The directory associates Unknown Individual with New Haven, Connecticut. Check all listed addresses for suites or satellite offices.

Why is information missing for Unknown Individual?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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