Unknown Individual – Surgery Physician, NPI 1831188135

Unknown Individual is a healthcare provider. based in Presque isle, Maine. specializing in Surgery Physician. They hold a License No. 013931 (ME). The NPI Number for Unknown Individual is 1831188135

Main info

Organization
Inactive
42 Years Of Experience
Name
Unknown Individual
NPI
1831188135
Phone
(207) 764-6310
Address
146 ACADEMY ST
Deactivation Date
2 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Secondary Phone
2074874000
Graduation Year
1984 (42 years ago)
PAC ID
3678516267
Group Practice PAC ID
3476462797
Professional Enrollment ID
I20050606000099
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

  • 146, Academy Street, Presque Isle, Aroostook County, Maine, 04769, United States

    SUITE 1 A

    PRESQUE ISLE, ME 047693102

    Phone: (207) 764-6310

    Fax: (207) 764-6993

    Type: Mailing

  • PO BOX 188

    FORT KENT, ME 047430188

    Phone: (207) 408-1831

    Type: Mailing

  • 193 MAIN ST STE 16

    NORWAY, ME 042685647

    Phone: (207) 743-2544

    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 04769)

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Provider's Procedures

Unknown Individual performs procedures in Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYME17003Destruction of 2-14 skin growths1813

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: 3476462797View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)ME
Family PracticeMT
Nurse PractitionerNH
Nurse PractitionerME
Family Practice, Osteopathic Manipulative MedicineME
P O D I A T R YME
Family PracticeME
-ME
General SurgeryME
Certified Registered Nurse Anesthetist (Crna)ME

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1831188135.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Surgery Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Presque Isle, Maine in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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