Unknown Individual – Neurological Surgery Physician, NPI 1770522864

Unknown Individual is a healthcare provider. based in Chestnut hill, Massachusetts. specializing in Neurological Surgery Physician. They hold a License No. 79279 (MA). The NPI Number for Unknown Individual is 1770522864

Main info

Organization
Inactive
55 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1770522864
Phone
(978) 826-7230
Address
33 HEATHWOOD LN
Deactivation Date
5 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9788267230
Graduation Year
1971 (55 years ago)
PAC ID
4981676079
Group Practice PAC ID
3779574041
Professional Enrollment ID
I20040810000165
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

  • 33 HEATHWOOD LN

    CHESTNUT HILL, MA 024672685

    Phone: (978) 826-7230

    Type: Mailing

  • 10, Centennial Drive, Peabody, Essex County, Massachusetts, 01960, United States

    EAST ENTRANCE

    PEABODY, MA 019607900

    Phone: (978) 826-7230

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $7,038.

Total Amount is formed as General ($25) + Research ($7,013) + Ownership ($0) = $7,038.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Intrinsic Therapeutics ($7,013).

Total Amount

$7,038

General + Research + Ownership

Payments

5

Total payment records

General Amount

$25

General payments

Research Amount

$7,013

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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 02467)

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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: 3779574041View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Anesthesiology, Pain ManagementMA
A N E S T H E S I O L O G YMA
A N E S T H E S I O L O G YMA
Nurse PractitionerMA
A N E S T H E S I O L O G YMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1770522864.
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.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Neurological Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Chestnut Hill, Massachusetts?
For routing, start with Chestnut Hill, Massachusetts for Unknown Individual, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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