Unknown Individual – Family Medicine Physician, NPI 1306826441

Unknown Individual is a healthcare provider. based in Des moines, Iowa. specializing in Family Medicine Physician. They hold a License No. DO-01602 (IA). The NPI Number for Unknown Individual is 1306826441

Main info

Organization
Inactive
51 Years Of Experience
Name
Unknown Individual
NPI
1306826441
Phone
(515) 237-3974
Address
2213 GRAND AVE
Deactivation Date
17 July 2025

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
-
Graduation Year
1975 (51 years ago)
PAC ID
1951366020
Professional Enrollment ID
I20041130001005
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience18
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Medical Billing Services, 2213, Grand Avenue, Grand Oaks Condominiums, Des Moines, Polk County, Iowa, 50312, United States

    DES MOINES, IA 503125305

    Phone: (515) 237-3974

    Fax: (515) 288-0122

    Type: Mailing

  • Ultimate Care Medical Clinic, 127, West Washington Street, Osceola, Clarke County, Iowa, 50213, United States

    OSCEOLA, IA 502131248

    Phone: (641) 342-6568

    Fax: (641) 342-4656

    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.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 50312)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1306826441?
NPI 1306826441 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Iowa is Unknown Individual registered?
Use Des Moines, Iowa as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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