Unknown Individual – Urology Physician, NPI 1861400285

Unknown Individual is a healthcare provider. based in Stamford, Connecticut. specializing in Urology Physician. They hold a License No. 18111 (CT). The NPI Number for Unknown Individual is 1861400285

Main info

Organization
Inactive
58 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1861400285
Phone
(203) 323-6050
Address
90 MORGAN ST
Deactivation Date
10 February 2022

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1968 (58 years ago)
PAC ID
1759512759
Professional Enrollment ID
I20140320000570
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

  • Morgan Street Family Medicine, 90, Morgan Street, Northfield, Stamford, Fairfield County, Connecticut, 06905, United States

    STAMFORD, CT 069055466

    Phone: (203) 323-6050

    Fax: (203) 967-3940

    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 06905)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1861400285.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Urology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Stamford, Connecticut because that is what the record indicates for Unknown Individual.
What if Stamford, Connecticut seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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