Unknown Individual – Neurology Physician, NPI 1083789556

Unknown Individual is a healthcare provider. based in Boston, Massachusetts. specializing in Neurology Physician. They hold a License No. 220320 (MA). The NPI Number for Unknown Individual is 1083789556

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1083789556
Phone
Not provided
Address
801 ALBANY STREET
Deactivation Date
8 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7328283000
Graduation Year
1983 (43 years ago)
PAC ID
7911940051
Group Practice PAC ID
2860485141
Professional Enrollment ID
I20050609000014
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

Provider Addresses for Unknown Individual

  • Hampton Inn, 801, Albany Street, South End, Boston, Suffolk County, Massachusetts, 02118, United States

    FL GROUND

    BOSTON, MA 02119

    Phone:

    Type: Mailing

  • 125 Paterson St

    Clinical Academic Building - Suite 6100

    New Brunswick, NJ 089011962

    Phone: (732) 235-7733

    Type: Location

  • 960 MASSACHUSETTS AVENUE

    FL 2

    BOSTON, MA 021182690

    Phone:

    Type: Mailing

  • 725 ALBANY STREET, SUITE 7B

    SHAPIRO BLDG

    BOSTON, MA 02118

    Phone: (617) 638-8456

    Fax: (617) 638-8465

    Type: Location

  • Shapiro Center, 725, Albany Street, South End, Boston, Suffolk County, Massachusetts, 02118, United States

    SHAPIRO 7, SUITE B

    BOSTON, MA 02118

    Phone: (617) 638-8456

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $8,876.

Total Amount is formed as General ($8,876) + Research ($0) + Ownership ($0) = $8,876.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Genentech USA, Inc. ($8,067).

Total Amount

$8,876

General + Research + Ownership

Payments

8

Total payment records

General Amount

$8,876

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

Latest reported date

Top Companies

Largest payers in this snapshot

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
99215Established patient office or other outpatient visit, 40-54 minutes3224$0
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or2912$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 02119)

Loading plans...

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: 2860485141View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1083789556 when you need to reference Unknown Individual in forms, claims, or directories.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Neurology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Boston, Massachusetts for Unknown Individual; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

DR. ALLEN STUART MANDIR (MD)

Neuromusculoskeletal Medicine & OMM Physician
336 22nd Ave N
NPI: 1396744934

CARLO TORNATORE

Neurology Physician
PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States
NPI: 1821097726

MICHAEL SIRDOFSKY

Neurology Physician
PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States
NPI: 1154321909

PUSHPA NARAYANASWAMI (MD)

Neurology Physician
330 BROOKLINE AVENUE, ROOM 810
NPI: 1326040197

DR. JOHN HALPERIN (MD)

Neurology Physician
PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States
NPI: 1124010079

DR. STEPHEN WONG (M.D.)

Epilepsy Physician
1 Capital Way
NPI: 1942293881

SHABBIR A ABBASI (M.D.)

Neurology Physician
PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States
NPI: 1992798797
PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States
NPI: 1700872561

RICHARD FINKELMAN (MD)

Neurology Physician
Wentworth-Douglass Hospital, 789, Central Avenue, Dover, Strafford County, New Hampshire, 03820, United States of America
NPI: 1801882865