Unknown Individual – Specialist, NPI 1003880907

Unknown Individual is a healthcare provider. based in West des moines, Iowa. specializing in Specialist. They hold a License No. 30099 (NC). The NPI Number for Unknown Individual is 1003880907

Main info

Organization
Inactive
46 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1003880907
Phone
(515) 875-9255
Address
5950 UNIVERSITY AVE STE 321
Deactivation Date
6 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8286318755
Graduation Year
1980 (46 years ago)
PAC ID
6901975705
Group Practice PAC ID
9032338975
Professional Enrollment ID
I20080520000449
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 5950 UNIVERSITY AVE STE 321

    WEST DES MOINES, IA 502668289

    Phone: (515) 875-9255

    Fax: (515) 875-9101

    Type: Mailing

  • 5950 UNIVERSITY AVE STE 341

    WEST DES MOINES, IA 502668289

    Phone: (515) 875-9255

    Fax: (515) 875-9101

    Type: Location

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 $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-08-08 • Largest payer in this snapshot: Boston Scientific Corporation ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-08

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50266)

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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: 9032338975View full group profile
NameSpecialtyState
-NC
-NC
Anesthesiology, Pain ManagementNC
Pulmonary Disease, Critical Care (Intensivists)MI
Critical Care (Intensivists), Pulmonary DiseaseNC
-NC
Orthopedic SurgeryNC
-NC
-NC
Internal MedicineNC

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1003880907; it appears in the national provider directory.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Other Service Providers. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface West Des Moines, Iowa for Unknown Individual based on available NPPES addresses.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.