Unknown Individual – Podiatrist, NPI 1669420659

Unknown Individual is a healthcare provider. based in Newark, Delaware. specializing in Podiatrist. They hold a License No. 00633 (MD). The NPI Number for Unknown Individual is 1669420659

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1669420659
Phone
(302) 368-5000
Address
410 CHRISTIANA MEDICAL CENTER
Deactivation Date
16 October 2024

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
-
Graduation Year
1979 (47 years ago)
PAC ID
2769515816
Professional Enrollment ID
I20100727000381
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 410 CHRISTIANA MEDICAL CENTER

    NEWARK, DE 19702

    Phone: (302) 368-5000

    Fax: (302) 368-9026

    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.

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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 19702)

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Provider's Procedures

Unknown Individual performs procedures in Podiatrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYDE73630X-ray of foot, minimum of 3 views5642

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1669420659 uniquely identifies Unknown Individual in U.S. healthcare data.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Podiatrist. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Newark, Delaware in registry-derived data.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.