Unknown Individual – Family Medicine Physician, NPI 1285678987

Unknown Individual is a healthcare provider. based in Sioux city, Iowa. specializing in Family Medicine Physician. They hold a License No. 10503 (NE). The NPI Number for Unknown Individual is 1285678987

Main info

Organization
Inactive
66 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1285678987
Phone
(712) 279-5830
Address
PO BOX 328
Deactivation Date
1 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4023238400
Graduation Year
1960 (66 years ago)
PAC ID
2365507878
Group Practice PAC ID
1153362462
Professional Enrollment ID
I20090217000639
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

  • PO BOX 328

    SIOUX CITY, IA 511020328

    Phone: (712) 279-5830

    Fax: (712) 279-5883

    Type: Mailing

  • Pender Medical Clinic, 100, Valley View Drive, Pender, Thurston County, Nebraska, 68047, United States

    PENDER, NE 68047

    Phone: (402) 385-3033

    Fax: (402) 385-3092

    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 $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-05-30 • Largest payer in this snapshot: ABBVIE INC. ($35).

Total Amount

$35

General + Research + Ownership

Payments

1

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$35
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 51102)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1285678987.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Sioux City, Iowa?
If you are local to Sioux City, Iowa, Unknown Individual may be relevant to your search.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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