Unknown Individual – Clinical Pathology/Laboratory Medicine Physician, NPI 1275524811

Unknown Individual is a healthcare provider. based in Charlestown, Massachusetts. specializing in Clinical Pathology/Laboratory Medicine Physician. They hold a License No. 154057 (MA). The NPI Number for Unknown Individual is 1275524811

Main info

Organization
Inactive
32 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1275524811
Phone
(617) 724-0287
Address
PO BOX 9142
Deactivation Date
21 June 2021

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
6177240287
Graduation Year
1994 (32 years ago)
PAC ID
8426242975
Group Practice PAC ID
2466365820
Professional Enrollment ID
I20101028001546
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

  • Charlestown Post Office (mobile), Pattern Close, St Austell Bay, Charlestown, Cornwall, England, PL25 3FQ, United Kingdom

    MASS GENERAL PHYSICIAN ORGANIZATION

    CHARLESTOWN, MA 021299142

    Phone: (617) 724-0287

    Fax: (617) 726-2894

    Type: Mailing

  • Massachusetts General Hospital, 55, Fruit Street, Beacon Hill, Boston, Suffolk County, Massachusetts, 02114, United States

    GRJ 235

    BOSTON, MA 021142696

    Phone: (617) 726-9468

    Fax: (617) 726-7758

    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 02129)

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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: 2466365820View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMA
Diagnostic RadiologyMA
Nephrology, Internal MedicineMA
Nurse PractitionerMA
P A T H O L O G YNY
P A T H O L O G YMA
P S Y C H I A T R YMA
Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology)MA
H E M A T O L O G Y/ O N C O L O G YMA
N E U R O L O G YMA

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1275524811 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Clinical Pathology/Laboratory Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Charlestown, Massachusetts because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1275524811. Always confirm identity and privileges with the practice and licensing boards.

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DR. MARA LORENZI (MD)

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DR. JAE KEITH JOUNG (MD PHD)

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