Unknown Individual – Internal Medicine Physician, NPI 1871529008

Unknown Individual is a healthcare provider. based in Kaunakakai, Hawaii. specializing in Internal Medicine Physician. They hold a License No. MD-11999 (HI). The NPI Number for Unknown Individual is 1871529008

Main info

Organization
Inactive
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1871529008
Phone
(808) 553-3121
Address
PO BOX 408
Deactivation Date
3 October 2022

Doctor Profile

Medical School Name
UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Secondary Phone
8085535331
Graduation Year
null (2026 years ago)
PAC ID
0244200400
Group Practice PAC ID
2264322874
Professional Enrollment ID
I20111129000023
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

Provider Addresses for Unknown Individual

  • PO BOX 408

    KAUNAKAKAI, HI 967480408

    Phone: (808) 553-3121

    Fax: (808) 553-3112

    Type: Mailing

  • 280 HOMEOLU PLACE

    KAUNAKAKAI, HI 967480408

    Phone: (808) 553-3121

    Fax: (808) 553-3112

    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 96748)

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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: 2264322874View full group profile
NameSpecialtyState
Certified Nurse Midwife (Cnm)RI
Certified Nurse Midwife (Cnm)OR
H O S P I T A L I S TCA
Internal MedicineHI
Family PracticeHI
Internal MedicineHI
Family PracticeCO
Family PracticeHI
Certified Nurse Midwife (Cnm)NM
Internal MedicineHI

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 1871529008.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Kaunakakai?
Unknown Individual currently maps to Kaunakakai, Hawaii in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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