Unknown Individual – Rheumatology Physician, NPI 1245439033

Unknown Individual is a healthcare provider. based in Springfield, Massachusetts. specializing in Rheumatology Physician. They hold a License No. NONE (CT). The NPI Number for Unknown Individual is 1245439033

Main info

Organization
Inactive
21 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1245439033
Phone
(413) 739-5676
Address
2150 MAIN STREET
Deactivation Date
26 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8607416058
Graduation Year
2005 (21 years ago)
PAC ID
2567586175
Group Practice PAC ID
6103725452
Professional Enrollment ID
I20100903000450
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 2150, Main Street, Metro Center, North End, Springfield, Hampden County, Massachusetts, 01107, United States

    SPRINGFIELD, MA 01104

    Phone: (413) 739-5676

    Fax: (413) 739-2278

    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 41 Open Payments records for all available years, with a total value of $909.

Total Amount is formed as General ($909) + Research ($0) + Ownership ($0) = $909.

Last reported payment date: 2023-07-12 • Largest payer in this snapshot: ABBVIE INC. ($285).

Total Amount

$909

General + Research + Ownership

Payments

41

Total payment records

General Amount

$909

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-12

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,432161$0
99214Established patient office or other outpatient visit, 30-39 minutes511337$0
99213Established patient office or other outpatient visit, 20-29 minutes233194$0
96372Injection of drug or substance under skin or into muscle156107$0
20610Aspiration and/or injection of fluid from large joint7546$0
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Insurance plans in this area (ZIP 01104)

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Provider's Procedures

Unknown Individual performs procedures in Rheumatology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RHEUMATOLOGYMA20610Aspiration and/or injection of large joint or joint capsule279171
RHEUMATOLOGYMA96415Infusion of chemotherapy into a vein2811

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: 6103725452View full group profile

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1245439033 for Unknown Individual, then check state licensing separately.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Rheumatology Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Springfield, 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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