Unknown Individual – Pulmonary Disease Physician, NPI 1922330083

Unknown Individual is a healthcare provider. based in Dover, Delaware. specializing in Pulmonary Disease Physician. They hold a License No. C1-0010330 (DE). The NPI Number for Unknown Individual is 1922330083

Main info

Organization
Inactive
23 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1922330083
Phone
(302) 674-7155
Address
807 S BRADFORD ST
Deactivation Date
27 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3026747155
Graduation Year
2003 (23 years ago)
PAC ID
2668613308
Group Practice PAC ID
8921018334
Professional Enrollment ID
I20130723000785
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 807, South Bradford Street, Morris Estates, Dover, Kent County, Delaware, 19904, United States

    DOVER, DE 199044137

    Phone: (302) 674-7155

    Fax: (302) 674-7156

    Type: Mailing

  • 435 H ST

    CHULA VISTA, CA 919104307

    Phone: (619) 862-6673

    Fax: (619) 686-7335

    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 $170.

Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($170).

Total Amount

$170

General + Research + Ownership

Payments

1

Total payment records

General Amount

$170

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes12050$0
99291Critical care, first 30-74 minutes10159$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3434$0
99292Critical care, each additional 30 minutes1911$0
View full utilization report →

Insurance plans in this area (ZIP 19904)

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Provider's Procedures

Unknown Individual performs procedures in Pulmonary Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASEDE31622Diagnostic examination of lung airways using an endoscope2424
PULMONARY DISEASEDE36556Insertion of central venous catheter for infusion, patient 5 years or older1111

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: 8921018334View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Sleep MedicineDE
Nurse PractitionerDE

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1922330083.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Dover, Delaware as the reference point for Unknown Individual, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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