Unknown Individual – Neurology Physician, NPI 1972825180

Unknown Individual is a healthcare provider. based in Stamford, Connecticut. specializing in Neurology Physician. They hold a License No. 051131 (CT). The NPI Number for Unknown Individual is 1972825180

Main info

Organization
Inactive
26 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1972825180
Phone
Not provided
Address
286 WEST TRL
Deactivation Date
17 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
8820247018
Professional Enrollment ID
I20121003000478
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 286, West Trail, Stamford, Fairfield County, Connecticut, 06903, United States

    STAMFORD, CT 069032402

    Phone:

    Type: Mailing

  • 55, Holly Hill Lane, Greenwich, Fairfield County, Connecticut, 06830, United States

    SUITE 210

    GREENWICH, CT 068306074

    Phone: (203) 422-7940

    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 06903)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1972825180 on file in the registry.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Neurology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Stamford?
Public fields place Unknown Individual around Stamford, Connecticut. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.