Unknown Individual – Anesthesiology Physician, NPI 1588615579

Unknown Individual is a healthcare provider. based in Dover, Delaware. specializing in Anesthesiology Physician. They hold a License No. MD041235E (PA). The NPI Number for Unknown Individual is 1588615579

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1588615579
Phone
(302) 674-4700
Address
640 S STATE ST
Deactivation Date
29 May 2025

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
3026744700
Graduation Year
1983 (43 years ago)
PAC ID
8527045657
Group Practice PAC ID
8325133895
Professional Enrollment ID
I20070927001015
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

  • Bayhealth Kent General, 640, South State Street, Morris Estates, Dover, Kent County, Delaware, 19901, United States

    DOVER, DE 199013530

    Phone: (302) 674-4700

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $55.

Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.

Last reported payment date: 2024-01-23 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($36).

Total Amount

$55

General + Research + Ownership

Payments

2

Total payment records

General Amount

$55

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-23

Latest reported date

Top Companies

Largest payers in this snapshot

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
00811Anesthesia for other procedure on large bowel using an endoscope2424$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2121$0
93320Ultrasound of heart blood flow, valves and chambers2020$0
93312Ultrasound of heart with probe in esophagus, with report2020$0
93325Ultrasound of heart with color-depicted blood flow, rate and valve function2020$0
View full utilization report →

Insurance plans in this area (ZIP 19901)

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Provider's Procedures

Unknown Individual performs procedures in Anesthesiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYPA01402Anesthesia for open or endoscopic total knee joint replacement4141
ANESTHESIOLOGYPA36620Insertion of arterial catheter for blood sampling or infusion, accessed through the skin3737
ANESTHESIOLOGYPA76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle2121

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: 8325133895View full group profile
NameSpecialtyState
-DE
-MD
Certified Registered Nurse Anesthetist (Crna)PA
A N E S T H E S I O L O G YDE
Certified Registered Nurse Anesthetist (Crna)NJ
-DE
Certified Registered Nurse Anesthetist (Crna)KY
-PA

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1588615579.
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 specialty?
The listing groups Unknown Individual with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Dover, Delaware in our summary view.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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