Unknown Individual – Internal Medicine Physician, NPI 1598796757

Unknown Individual is a healthcare provider. based in Biddeford, Maine. specializing in Internal Medicine Physician. They hold a License No. 241082 (NY). The NPI Number for Unknown Individual is 1598796757

Main info

Organization
Inactive
23 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1598796757
Phone
(207) 283-7937
Address
1 Medical Center Dr
Deactivation Date
19 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
2264530013
Group Practice PAC ID
7517860588
Professional Enrollment ID
I20180726002904
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

Provider Addresses for Unknown Individual

  • 1 Medical Center Dr

    Biddeford, ME 040059422

    Phone: (207) 283-7937

    Fax: (207) 283-7018

    Type: Location

  • 1790, Broadway, Theater District, Times Square, Manhattan, New York County, New York, Stone Street Historic District, New York, 10019, United States

    3RD FLOOR

    NEW YORK, NY 100191412

    Phone: (212) 315-0144

    Fax: (212) 315-0196

    Type: Mailing

  • Mount Sinai St. Luke's, 1111, Amsterdam Avenue, Morningside Heights, Manhattan Community Board 9, Manhattan, New York County, New York, 10029, United States

    NEW YORK, NY 100251716

    Phone: (212) 523-4403

    Fax: (212) 315-0196

    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.

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 04005)

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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: 7517860588View full group profile

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1598796757.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Biddeford, Maine may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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