Unknown Individual – Gastroenterology Physician, NPI 1447358114

Unknown Individual is a healthcare provider. based in Burlington, Massachusetts. specializing in Gastroenterology Physician. They hold a License No. 71608 (MA). The NPI Number for Unknown Individual is 1447358114

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1447358114
Phone
(781) 744-8494
Address
LAHEY CLINIC
Deactivation Date
31 July 2024

Doctor Profile

Medical School Name
CHICAGO COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
7817448085
Graduation Year
1987 (39 years ago)
PAC ID
1557300969
Group Practice PAC ID
2264336528
Professional Enrollment ID
I20050426000606
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

  • Lahey Hospital & Medical Center, 41, Burlington Mall Road, Burlington, Middlesex County, Massachusetts, 01805, United States

    41 MALL RD.

    BURLINGTON, MA 018050001

    Phone: (781) 744-8494

    Fax: (781) 744-5276

    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)

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito242236$0
G0105Colorectal cancer screening; colonoscopy on individual at high risk8282$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare7676$0
43235Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope6564$0
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk6161$0
View full utilization report →

Insurance plans in this area (ZIP 01805)

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Provider's Procedures

Unknown Individual performs procedures in Gastroenterology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYMA45378Diagnostic examination of large bowel using an endoscope4747
GASTROENTEROLOGYMA45385Removal of polyps or growths of large bowel using an endoscope5252

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: 2264336528View full group profile
NameSpecialtyState
Nurse PractitionerMA
-MA
G A S T R O E N T E R O L O G YNY
Physician AssistantMA
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1447358114.
What does inactive NPI status mean 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 Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Burlington, Massachusetts?
If you are local to Burlington, Massachusetts, Unknown Individual may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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