Unknown Individual – Obstetrics & Gynecology Physician, NPI 1659359909

Unknown Individual is a healthcare provider. based in Waterloo, Iowa. specializing in Obstetrics & Gynecology Physician. They hold a License No. MD-23695 (IA). The NPI Number for Unknown Individual is 1659359909

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1659359909
Phone
(319) 272-8200
Address
3421 W 9TH ST STE G4500
Deactivation Date
2 August 2021

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
5636336965
Graduation Year
1982 (44 years ago)
PAC ID
2769475656
Group Practice PAC ID
0244148732
Professional Enrollment ID
I20050928000086
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

Provider Addresses for Unknown Individual

  • 3421 W 9TH ST STE G4500

    WATERLOO, IA 507025401

    Phone: (319) 272-8200

    Fax: (319) 272-0400

    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 50702)

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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: 0244148732View full group profile
NameSpecialtyState
-IA
Gastroenterology, Internal MedicineIA
Nurse PractitionerIA
-IA
Nurse PractitionerIA
Physician AssistantIA
-IN
Orthopedic SurgeryIA
Family PracticeIA
Family PracticeIA

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1659359909.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Waterloo, Iowa as the reference point for Unknown Individual, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.