Unknown Individual – Internal Medicine Physician, NPI 1720072655

Unknown Individual is a healthcare provider. based in Holyoke, Massachusetts. specializing in Internal Medicine Physician. They hold a License No. 41425 (MA). The NPI Number for Unknown Individual is 1720072655

Main info

Organization
Inactive
64 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1720072655
Phone
(413) 532-2584
Address
10 HOSPITAL DR
Deactivation Date
9 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1962 (64 years ago)
PAC ID
9133169469
Professional Enrollment ID
I20050505001126
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

  • 10, Hospital Drive, Elmwood, Holyoke, Hampden County, Massachusetts, 01040, United States

    SUITE 311

    HOLYOKE, MA 010406603

    Phone: (413) 532-2584

    Fax: (413) 525-1123

    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 01040)

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Provider's Procedures

Unknown Individual performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report379286

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1720072655 — the number used across U.S. healthcare to identify this provider.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Holyoke?
Unknown Individual currently maps to Holyoke, Massachusetts in this extract.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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