Unknown Individual – Addiction Medicine (Internal Medicine) Physician, NPI 1306898788

Unknown Individual is a healthcare provider. based in West springfield, Massachusetts. specializing in Addiction Medicine (Internal Medicine) Physician. They hold a License No. 138878 (MA). The NPI Number for Unknown Individual is 1306898788

Main info

Organization
Inactive
23 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1306898788
Phone
(413) 785-1153
Address
271 PARK STREET
Deactivation Date
12 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4137851153
Graduation Year
2003 (23 years ago)
PAC ID
0446212005
Group Practice PAC ID
5991609174
Professional Enrollment ID
I20041027000613
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

Loading map...

Provider Addresses for Unknown Individual

  • 271, Park Street, Springfield, Penobscot County, Maine, 04487, United States

    WEST SPRINGFIELD, MA 01089

    Phone: (413) 785-1153

    Type: Location

  • 58, Carew Street, Chicopee Falls, Chicopee, Hampden County, Massachusetts, 01104, United States

    CHICOPEE, MA 010204504

    Phone: (413) 594-2460

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $219.

Total Amount is formed as General ($219) + Research ($0) + Ownership ($0) = $219.

Last reported payment date: 2023-03-29 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($121).

Total Amount

$219

General + Research + Ownership

Payments

3

Total payment records

General Amount

$219

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-29

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01089)

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: 5991609174View full group profile
NameSpecialtyState
Nurse PractitionerCT
Physician AssistantMA
Physician AssistantMA
Physical Therapist In Private PracticeMA
Physical Medicine And RehabilitationNY
Physical Therapist In Private PracticeMA
Physical Medicine And RehabilitationMA
Physical Therapist In Private PracticeMA
Physician AssistantMA
Physical Medicine And RehabilitationMA

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 1306898788 when you need to reference Unknown Individual in forms, claims, or directories.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Addiction Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists West Springfield, Massachusetts for Unknown Individual; download NPPES for the complete set.
What if West Springfield, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

Similar Providers

DR. AMANDA LOUISE WILSON (MD)

Addiction Medicine (Internal Medicine) Physician
82 Main St.
NPI: 1821066085

CleanSlate Centers

Addiction Medicine (Internal Medicine) Physician
244 MAIN STREET ANNEX
NPI: 1770816506

CLEANSLATE CENTERS, LLC

Addiction Medicine (Internal Medicine) Physician
PO BOX 32
NPI: 1629398433