Unknown Individual – Pulmonary Disease Physician, NPI 1215999495

Unknown Individual is a healthcare provider. based in Fairhaven, Massachusetts. specializing in Pulmonary Disease Physician. They hold a License No. 81372 (MA). The NPI Number for Unknown Individual is 1215999495

Main info

Organization
Inactive
34 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1215999495
Phone
(508) 973-2000
Address
200 MILL ROAD
Deactivation Date
31 May 2023

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1992 (34 years ago)
PAC ID
5991799231
Group Practice PAC ID
0749171957
Professional Enrollment ID
I20040412000263

Contacts

Secure Messaging
ckapogiannis13028@direct.southcoast.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • 200, Mill Road, Nasketucket, Fairhaven, Bristol County, Massachusetts, 02719, United States

    SUITE 180

    FAIRHAVEN, MA 027195252

    Phone: (508) 973-2000

    Fax: (508) 973-2001

    Type: Mailing

  • 370, Faunce Corner Road, Dartmouth, Bristol County, Massachusetts, 02747, United States

    NORTH DARTMOUTH, MA 027471271

    Phone: (508) 973-9050

    Fax: (508) 999-5151

    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 02719)

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Provider's Procedures

Unknown Individual performs procedures in Pulmonary Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMA36556Insertion of central venous catheter for infusion, patient 5 years or older1514
INTERNAL MEDICINEMA81002Urinalysis, manual test9492
INTERNAL MEDICINEMA83036Hemoglobin A1C level267184
INTERNAL MEDICINEMA90670Pneumococcal vaccine for injection into muscle9494
INTERNAL MEDICINEMA94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration6260
INTERNAL MEDICINEMA94727Determination of lung volumes using gas dilution or washout3231

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: 0749171957View full group profile
NameSpecialtyState
Nurse PractitionerRI
Pain Management, AnesthesiologyMA
Certified Registered Nurse Anesthetist (Crna)MA
Clinical Social WorkerMA
Hospitalist, Internal MedicineMA
Physician AssistantMA
H O S P I T A L I S TMA
Certified Registered Nurse Anesthetist (Crna)RI
Clinical Social WorkerMA
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1215999495 uniquely identifies Unknown Individual in U.S. healthcare data.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Fairhaven, Massachusetts?
If you are local to Fairhaven, Massachusetts, Unknown Individual may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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