Unknown Individual – Anesthesiology Physician, NPI 1538169057

Unknown Individual is a healthcare provider. based in Methuen, Massachusetts. specializing in Anesthesiology Physician. They hold a License No. 214682 (MA). The NPI Number for Unknown Individual is 1538169057

Main info

Organization
Inactive
28 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1538169057
Phone
(978) 689-4601
Address
60 EAST ST
Deactivation Date
9 January 2025

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9784752880
Graduation Year
1998 (28 years ago)
PAC ID
9032370358
Group Practice PAC ID
2860688728
Professional Enrollment ID
I20120413000256
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

  • 60, East Street, Methuen, Essex County, Massachusetts, 01841, United States

    SUITE 1400

    METHUEN, MA 018444500

    Phone: (978) 689-4601

    Fax: (978) 689-3096

    Type: Mailing

  • Lowell General Hospital, 295, Varnum Avenue, Pawtucketville, Lowell, Middlesex County, Massachusetts, 01854, United States

    LOWELL GENERAL HOSPITAL, ANESTHESIA DEPARTMENT

    LOWELL, MA 018542134

    Phone: (978) 937-6235

    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.

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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 01844)

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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: 2860688728View full group profile

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1538169057 as the unique 10-digit identifier.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Anesthesiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Massachusetts is Unknown Individual registered?
Use Methuen, Massachusetts as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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