Unknown Individual – Internal Medicine Physician, NPI 1902848609

Unknown Individual is a healthcare provider. based in Milford, Connecticut. specializing in Internal Medicine Physician. They hold a License No. 028733 (CT). The NPI Number for Unknown Individual is 1902848609

Main info

Organization
Inactive
52 Years Of Experience
Name
Unknown Individual
NPI
1902848609
Phone
(203) 877-7622
Address
PO BOX 3015
Deactivation Date
21 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2038777622
Graduation Year
1974 (52 years ago)
PAC ID
3971585746
Professional Enrollment ID
I20040604000385

Contacts

Secure Messaging
ismail.tarkhan@xdr.hhchealthdirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • Milford Post Office, 1150, Atlantic Street, Milford, Milford Charter Township, Oakland County, Michigan, 48381, United States

    MILFORD, CT 064600815

    Phone: (203) 877-7622

    Fax: (203) 877-7623

    Type: Mailing

  • 2080, Bridgeport Avenue, Fort Trumbull, Milford, South Central Connecticut Planning Region, Connecticut, 06460, United States

    MILFORD, CT 064604647

    Phone: (203) 877-7622

    Fax: (203) 877-7623

    Type: Location

  • 2080 BRIDGEPORT AVE

    MILFORD, CT 064604647

    Phone: (203) 877-7622

    Fax: (203) 877-7623

    Type: Mailing

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 $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2023-07-19 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($113).

Total Amount

$113

General + Research + Ownership

Payments

1

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$113
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
99214Established patient office or other outpatient visit, 30-39 minutes13487$0
View full utilization report →

Insurance plans in this area (ZIP 06460)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1902848609 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Internal Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Milford, Connecticut for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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