Unknown Individual – Obstetrics & Gynecology Physician, NPI 1932105160

Unknown Individual is a healthcare provider. based in Davenport, Iowa. specializing in Obstetrics & Gynecology Physician. They hold a License No. 3908 (IA). The NPI Number for Unknown Individual is 1932105160

Main info

Organization
Inactive
29 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1932105160
Phone
(563) 355-1853
Address
5350 EASTERN AVE
Deactivation Date
2 December 2020

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
5634211000
Graduation Year
1997 (29 years ago)
PAC ID
1557380557
Group Practice PAC ID
8426947813
Professional Enrollment ID
I20090108000490
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 5350, Eastern Avenue, Davenport, Scott County, Iowa, 52807, United States

    DAVENPORT, IA 528072709

    Phone: (563) 355-1853

    Fax: (563) 359-1512

    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 52807)

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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 test1717

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: 8426947813View full group profile
NameSpecialtyState
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
O B S T E T R I C S/ G Y N E C O L O G YMI
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
-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 YNM
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

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1932105160.
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 Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Davenport, Iowa. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.