Unknown Individual – Internal Medicine Physician, NPI 1689679334

Unknown Individual is a healthcare provider. based in Rockville, Maryland. specializing in Internal Medicine Physician. They hold a License No. D0057532 (MD). The NPI Number for Unknown Individual is 1689679334

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1689679334
Phone
(301) 279-2288
Address
966 HUNGERFORD DR
Deactivation Date
5 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3012792288
Graduation Year
1982 (44 years ago)
PAC ID
6901922806
Professional Enrollment ID
I20100929000036
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

  • 966, Hungerford Drive, Westmore, King Farm, Rockville, Montgomery County, Maryland, 20850, United States

    STE 31A

    ROCKVILLE, MD 208501739

    Phone: (301) 279-2288

    Fax: (301) 279-2722

    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 20850)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1689679334; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Maryland?
You will see Rockville, Maryland on file for Unknown Individual alongside any extra practice locations.
What if Rockville, Maryland seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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