Unknown Individual – Obstetrics & Gynecology Physician, NPI 1487651105

Unknown Individual is a healthcare provider. based in Dubuque, Iowa. specializing in Obstetrics & Gynecology Physician. They hold a License No. 11730 (IA). The NPI Number for Unknown Individual is 1487651105

Main info

Organization
Inactive
45 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1487651105
Phone
(563) 557-5959
Address
1500 DELHI ST
Deactivation Date
2 November 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
5635575959
Graduation Year
1981 (45 years ago)
PAC ID
4688634652
Group Practice PAC ID
2769451525
Professional Enrollment ID
I20100203000575
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

  • 1500, Delhi Street, Cathedral Square, Dubuque, Dubuque County, Iowa, 52001, United States

    SUITE 3100

    DUBUQUE, IA 520016358

    Phone: (563) 557-5959

    Fax: (563) 557-5950

    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)

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 52001)

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Provider's Procedures

Unknown Individual performs procedures in Obstetrics & Gynecology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OBSTETRICS/GYNECOLOGYIA81002Urinalysis, manual test2525

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: 2769451525View full group profile
NameSpecialtyState
Nurse PractitionerIA
-IA
O B S T E T R I C S/ G Y N E C O L O G YIA
O B S T E T R I C S/ G Y N E C O L O G YIA
Certified Nurse Midwife (Cnm)IA
Nurse PractitionerIA
O B S T E T R I C S/ G Y N E C O L O G YIA

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 1487651105.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Dubuque, Iowa?
If you are local to Dubuque, 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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