Unknown Individual – Podiatrist, NPI 1447358411

Unknown Individual is a healthcare provider. based in Holyoke, Massachusetts. specializing in Podiatrist. They hold a License No. 776 (CT). The NPI Number for Unknown Individual is 1447358411

Main info

Organization
Inactive
25 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1447358411
Phone
(413) 420-0163
Address
10 HOSPITAL DR
Deactivation Date
2 November 2022

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
4135362706
Graduation Year
2001 (25 years ago)
PAC ID
9032128616
Professional Enrollment ID
I20060410000302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 10, Hospital Drive, Elmwood, Oakdale, Holyoke, Hampden County, Massachusetts, 01040, United States

    SUITE 306

    HOLYOKE, MA 010406603

    Phone: (413) 420-0163

    Fax: (413) 420-0166

    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.

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

Insurance plans in this area (ZIP 01040)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1447358411 as the unique 10-digit identifier.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Podiatrist. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is Unknown Individual registered?
Use Holyoke, Massachusetts as the headline location for Unknown Individual here.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.