Unknown Individual – Internal Medicine Physician, NPI 1518940568

Internal Medicine Physician

Unknown Individual is a healthcare provider. based in North easton, Massachusetts. specializing in Internal Medicine Physician. They hold a License No. 76473 (MA). The NPI Number for Unknown Individual is 1518940568

Main info

Organization

Inactive

35 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1518940568

Phone

(781) 192-6500

Address

15 ROCHE BROS WAY

Deactivation Date

8 April 2021

Doctor Profile

Medical School Name

NEW YORK MEDICAL COLLEGE

Secondary Phone

Graduation Year

1991 (35 years ago)

PAC ID

1951478486

Group Practice PAC ID

2860688728

Professional Enrollment ID

I20080924000499

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

Provider Addresses for Unknown Individual

15 ROCHE BROS WAY
SUITE 110
NORTH EASTON, MA 02356
Phone: (781) 192-6500
Fax: (781) 792-6540
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 02356)

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Provider's Procedures

Unknown Individual performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
INTERNAL MEDICINE	MA	78452	Nuclear medicine study of vessels of heart using drugs or exercise multiple studies	56	55
INTERNAL MEDICINE	MA	93280	Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report	83	45

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: 2860688728View full group profile

Name	Specialty	State
MRS. PATRICIA NOREEN FINNERAN (NP-C)	-	MA
DR. RIBHU TUSHAR JHA (MD)	N E U R O S U R G E R Y	FL
HEIDI SUSAN BEE (DO)	-	PA
DR. SHRUTI SATYANARAYAN BIYANI (MD)	O B S T E T R I C S/ G Y N E C O L O G Y	MA
DR. PRABHU SUDANTIRARAJ RAM (M.D)	Internal Medicine	MA
LARAE TYMOCHKO (PA-C)	-	PA
DAVID RANDALL HOFIUS (D.O.)	General Surgery	PA
TONIA L SKAKALSKI (D.O.)	-	PA
JANE G BUTLIN (MD)	-	MA
DR. PEGGY MENTOR (MD)	-	MA