Unknown Individual – Internal Medicine Physician, NPI 1598763872

Unknown Individual is a healthcare provider. based in Fall river, Massachusetts. specializing in Internal Medicine Physician. They hold a License No. 42786 (MA). The NPI Number for Unknown Individual is 1598763872

Main info

Organization
Inactive
53 Years Of Experience
Name
Unknown Individual
NPI
1598763872
Phone
(508) 677-0700
Address
235 HANOVER ST
Deactivation Date
11 March 2021

Doctor Profile

Medical School Name
JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Secondary Phone
508677070028744
Graduation Year
1973 (53 years ago)
PAC ID
9335165455
Professional Enrollment ID
I20051018001117
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

  • 235, Hanover Street, Fall River, Bristol County, Massachusetts, 02722, United States

    STE 109

    FALL RIVER, MA 027205246

    Phone: (508) 677-0700

    Fax: (508) 676-1585

    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 02720)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1598763872; it appears in the national provider directory.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Internal Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Fall River, Massachusetts for Unknown Individual based on available NPPES addresses.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1598763872. Always confirm identity and privileges with the practice and licensing boards.

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