Unknown Individual – Endocrinology, Diabetes & Metabolism Physician, NPI 1790773224

Unknown Individual is a healthcare provider. based in Iowa city, Iowa. specializing in Endocrinology, Diabetes & Metabolism Physician. They hold a License No. 33165 (IA). The NPI Number for Unknown Individual is 1790773224

Main info

Organization
Inactive
55 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1790773224
Phone
(319) 353-7812
Address
200 HAWKINS DR
Deactivation Date
4 March 2022

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1971 (55 years ago)
PAC ID
4587706437
Group Practice PAC ID
7618884230
Professional Enrollment ID
I20100115000263
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • University of Iowa Hospitals & Clinics, 200, Hawkins Drive, Iowa City, Johnson County, Iowa, 52245, United States

    IOWA CITY, IA 522421009

    Phone: (319) 353-7812

    Fax: (319) 353-7850

    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 52242)

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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: 7618884230View full group profile
NameSpecialtyState
Endocrinology, Internal MedicineIA
Infectious Disease, Pediatric MedicineMI
Physician AssistantIA
-IA
Diagnostic RadiologyIA
Diagnostic RadiologyIA
Hospitalist, Internal MedicineIA
Clinical PsychologistIA
-IA
-IA

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1790773224.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What kind of provider is Unknown Individual?
The page reflects Endocrinology, Diabetes & Metabolism Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Iowa City, Iowa for Unknown Individual; download NPPES for the complete set.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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