Unknown Individual – Family Medicine Physician, NPI 1720069164

Unknown Individual is a healthcare provider. based in Brookline, Massachusetts. specializing in Family Medicine Physician. They hold a License No. 7549 (NH). The NPI Number for Unknown Individual is 1720069164

Main info

Organization
Inactive
43 Years Of Experience
Name
Unknown Individual
NPI
1720069164
Phone
(800) 927-0002
Address
PO BOX 9135
Deactivation Date
26 February 2021

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6038934119
Graduation Year
1983 (43 years ago)
PAC ID
7719915289
Professional Enrollment ID
I20050727000583
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

Loading map...

Provider Addresses for Unknown Individual

  • Brookline Post Office, 1295, Beacon Street, Coolidge Corner, North Brookline, Brookline, Norfolk County, Massachusetts, 02446, United States

    ATT:SHARON SILVA

    BROOKLINE, MA 024469135

    Phone: (800) 927-0002

    Type: Mailing

  • 63, Range Road, Windham, Rockingham County, New Hampshire, 03087, United States

    WINDHAM, NH 030872098

    Phone: (603) 893-4119

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 02446)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINENH83036Hemoglobin A1C level290135
FAMILY MEDICINENH90670Pneumococcal vaccine for injection into muscle6060

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1720069164.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Family Medicine Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Brookline, Massachusetts in the data we show; additional addresses may exist on the full record.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

JOHN ANGELO GNASSI (MD)

Family Medicine Physician
CHA Everett Hospital, 103, Garland Street, Glendale, Everett, Middlesex County, Massachusetts, 02149, United States
NPI: 1629066105

MICHAEL P. ROMANOWSKY FAMILY MEDICINE

Family Medicine Physician
Brookline Post Office, 1295, Beacon Street, Coolidge Corner, North Brookline, Brookline, Norfolk County, Massachusetts, 02446, United States
NPI: 1669459418

DEBRA SUSAN GERSTEIN (MD)

Family Medicine Physician
Beacon Street, Coolidge Corner, Brookline, Norfolk County, Massachusetts, 02446, United States
NPI: 1851379630

DR. CATHY L VANDENHEUVEL (MD)

Family Medicine Physician
Takusan, 1223, Beacon Street, Coolidge Corner, Brookline, Norfolk County, Massachusetts, 02446, United States
NPI: 1538133806

VALERIE EFONDA SANDERS (MD)

Family Medicine Physician
149;151, Chestnut Street, Whiskey Point, Brookline, Norfolk County, Massachusetts, 02445, United States
NPI: 1033175088

NATIONAL HEALTH SERVICES, INC

Family Medicine Physician
59, Temple Place, Downtown Crossing, Financial District, Boston, Suffolk County, Massachusetts, 02111, United States
NPI: 1457386005

BROOKLINE FAMILY COUNSELING CENTER, INC

Internal Medicine Physician
59, Temple Place, Downtown Crossing, Financial District, Boston, Suffolk County, Massachusetts, 02111, United States
NPI: 1295743813

Unknown Individual

Family Medicine Physician
32, Kent Street, Brookline Village Commercial District, Brookline, Norfolk County, Massachusetts, 02445-7638, United States
NPI: 1942314059

YOUKO G YERACARIS (M.D.)

Family Medicine Physician
37 BERESFORD RD
NPI: 1437240512