Unknown Individual – Psychiatry Physician, NPI 1033157557

Unknown Individual is a healthcare provider. based in Des moines, Iowa. specializing in Psychiatry Physician. They hold a License No. 21067 (IA). The NPI Number for Unknown Individual is 1033157557

Main info

Organization
Inactive
60 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1033157557
Phone
(515) 282-2200
Address
1801 HICKMAN RD
Deactivation Date
30 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5152822200
Graduation Year
1966 (60 years ago)
PAC ID
5496797508
Group Practice PAC ID
3678466166
Professional Enrollment ID
I20050531000421
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

  • Broadlawns Medical Center, 1801, Hickman Road, Des Moines, Polk County, Iowa, 50314, United States

    DES MOINES, IA 503141505

    Phone: (515) 282-2200

    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 17 Open Payments records for all available years, with a total value of $422.

Total Amount is formed as General ($422) + Research ($0) + Ownership ($0) = $422.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: ABBVIE INC. ($255).

Total Amount

$422

General + Research + Ownership

Payments

17

Total payment records

General Amount

$422

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$255
Alkermes, Inc.$90
ITI, Inc.$77
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
99214Established patient office or other outpatient visit, 30-39 minutes13469$0
99213Established patient office or other outpatient visit, 20-29 minutes6845$0
90792Psychiatric diagnostic evaluation with medical services1313$0
View full utilization report →

Insurance plans in this area (ZIP 50314)

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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: 3678466166View full group profile
NameSpecialtyState
Internal MedicineIA
O B S T E T R I C S/ G Y N E C O L O G YIA
Emergency MedicineIA
Family PracticeIA
N E P H R O L O G YIA
P A T H O L O G YIA
-IA
O P T O M E T R YIA
-IA
O P T O M E T R YIA

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 1033157557.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Des Moines, Iowa; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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