Unknown Individual – Sleep Medicine (Psychiatry & Neurology) Physician, NPI 1134109564

Unknown Individual is a healthcare provider. based in Hadley, Massachusetts. specializing in Sleep Medicine (Psychiatry & Neurology) Physician. They hold a License No. 80036 (MA). The NPI Number for Unknown Individual is 1134109564

Main info

Organization
Inactive
34 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1134109564
Phone
(413) 253-2767
Address
217 RUSSELL ST
Deactivation Date
31 January 2024

Doctor Profile

Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Secondary Phone
4132532767
Graduation Year
1992 (34 years ago)
PAC ID
4789618612
Group Practice PAC ID
5092737098
Professional Enrollment ID
I20050921000128
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 217, Russell Street, Hadley, Hampshire, Massachusetts, 01035, United States

    HADLEY, MA 010359521

    Phone: (413) 253-2767

    Fax: (413) 253-2764

    Type: Mailing

  • Cooley Dickinson Lab Patient Service Center, 170, University Drive, Amherst, Hampshire County, Massachusetts, 01004, United States

    AMHERST, MA 010022247

    Phone: (413) 253-2767

    Fax: (413) 574-2764

    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.

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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
G0399Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation271267$0
95810Sleep study in sleep lab (6 years or older)185183$0
95811Sleep study in sleep lab with continuous airway pressure (6 years or older)115104$0
View full utilization report →

Insurance plans in this area (ZIP 01035)

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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: 5092737098View full group profile
NameSpecialtyState
Nurse PractitionerMA
N E U R O L O G YMA
Sleep MedicineMA
Physician AssistantMA
Physician AssistantMA

Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1134109564.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Sleep Medicine (Psychiatry & Neurology) Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Hadley, Massachusetts in the same public data insurers reference.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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