Unknown Individual – Internal Medicine Physician, NPI 1629018155

Unknown Individual is a healthcare provider. based in Norwood, Massachusetts. specializing in Internal Medicine Physician. They hold a License No. 157692 (MA). The NPI Number for Unknown Individual is 1629018155

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1629018155
Phone
(617) 769-4000
Address
800 WASHINGTON ST
Deactivation Date
12 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7817924136
Graduation Year
1985 (41 years ago)
PAC ID
3375619166
Group Practice PAC ID
7113029257
Professional Enrollment ID
I20080902000153
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

  • Norwood Hospital, 800, Washington Street, Winslows, Norwood, Norfolk County, Massachusetts, 02062, United States

    NORWOOD, MA 020623487

    Phone: (617) 769-4000

    Type: Location

  • 63, Forge Road, Sharon, Norfolk County, Massachusetts, 02067, United States

    SHARON, MA 020672860

    Phone: (617) 769-4000

    Type: Mailing

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 02062)

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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: 7113029257View full group profile
NameSpecialtyState
Pain Management, AnesthesiologyMA
-MA
Physician AssistantMA
General SurgeryNJ
U R O L O G YMA
Internal MedicineME
Physician AssistantIN
O B S T E T R I C S/ G Y N E C O L O G YMA
Physician AssistantMA
Emergency MedicineMA

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1629018155 for Unknown Individual.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Norwood, Massachusetts?
For routing, start with Norwood, Massachusetts for Unknown Individual, then verify phone and hours locally.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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