Unknown Individual – Nephrology Physician, NPI 1013007616

Unknown Individual is a healthcare provider. based in West bridgewater, Massachusetts. specializing in Nephrology Physician. They hold a License No. 231974 (MA). The NPI Number for Unknown Individual is 1013007616

Main info

Organization
Inactive
40 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1013007616
Phone
(508) 238-8646
Address
35 UNITED DR STE 102
Deactivation Date
16 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7816007599
Graduation Year
1986 (40 years ago)
PAC ID
1557259330
Group Practice PAC ID
1153658851
Professional Enrollment ID
I20071009000041
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

  • 35 UNITED DR STE 102

    WEST BRIDGEWATER, MA 023791027

    Phone: (508) 238-8646

    Type: Mailing

  • North Shore Medical Center - Salem Hospital, 81, Highland Avenue, Salem, Essex County, Massachusetts, 01970, United States

    SALEM, MA 019702714

    Phone: (801) 541-0293

    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 02379)

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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: 1153658851View full group profile
NameSpecialtyState
Physician AssistantNH
Pulmonary Disease, Internal Medicine, Critical Care (Intensivists), Internal MedicineNH
Nurse PractitionerNH
Nurse PractitionerMA
Nurse PractitionerNH
Nurse PractitionerMA
Pulmonary DiseaseME
Nurse PractitionerMA
Critical Care (Intensivists)MA
Internal MedicineIL

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 1013007616.
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 taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Nephrology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near West Bridgewater, Massachusetts may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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