Unknown Individual – Internal Medicine Physician, NPI 1073520607

Unknown Individual is a healthcare provider. based in New bedford, Massachusetts. specializing in Internal Medicine Physician. They hold a License No. 226242 (MA). The NPI Number for Unknown Individual is 1073520607

Main info

Organization
Inactive
26 Years Of Experience
Name
Unknown Individual
NPI
1073520607
Phone
(774) 992-7058
Address
651 ORCHARD ST
Deactivation Date
1 January 2026

Doctor Profile

Medical School Name
RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
0941220610
Professional Enrollment ID
I20051128000458
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

  • 651, Orchard Street, New Bedford, Bristol County, Massachusetts, 02740-4938, United States

    SUITE 202A

    NEW BEDFORD, MA 027441008

    Phone: (774) 992-7058

    Fax: (774) 992-7061

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2023-02-15 • Largest payer in this snapshot: Astellas Pharma US Inc ($32).

Total Amount

$32

General + Research + Ownership

Payments

1

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Astellas Pharma US Inc$32
View all Open Payments →|Open Payments Risk Radar →

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes609163$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes218124$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes5150$0
View full utilization report →

Insurance plans in this area (ZIP 02744)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1073520607 — is the standard way to identify this listing.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to New Bedford, Massachusetts in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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