Unknown Individual – Infectious Disease Physician, NPI 1790767580

Unknown Individual is a healthcare provider. based in Boston, Massachusetts. specializing in Infectious Disease Physician. They hold a License No. 40199 (MA). The NPI Number for Unknown Individual is 1790767580

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1790767580
Phone
Not provided
Address
PO BOX 415348
Deactivation Date
28 September 2021

Doctor Profile

Medical School Name
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Secondary Phone
5083341000
Graduation Year
1974 (52 years ago)
PAC ID
9335044965
Group Practice PAC ID
4284539891
Professional Enrollment ID
I20050826000117

Contacts

Secure Messaging
rfinberg9239@UmassMemorial.direct-ci.com
FHIR Endpoint
https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

Loading map...

Provider Addresses for Unknown Individual

  • PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States

    BOSTON, MA 022415348

    Phone:

    Type: Mailing

  • UMASS Memorial Medical Center University Campus Hospital, 55, Lake Avenue North, Worcester, Worcester County, Massachusetts, 01653, United States

    DEPARTMENT OF INFECTIOUS DISEASE

    WORCESTER, MA 016550002

    Phone: (508) 856-3158

    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 02241)

Loading plans...

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: 4284539891View full group profile
NameSpecialtyState
EWA HRYNISZYN (CRNA)
Certified Registered Nurse Anesthetist (Crna)MA
DR. ADEPEJU GBADEBO CHAMPION (M.D.)
-MA
ERIN MARIE BEDNAREK (N.P.)
-MA
DR. HANNAH M. COATES (M.D.)
Family PracticeMA
DANIEL J ZINKUS (PA-C)
Physician AssistantMA
STEPHEN JAY KRINZMAN (M.D.)
Pulmonary Disease, Critical Care (Intensivists), Allergy/ImmunologyMA
MS. KERRI A ELLIS (NP)
-MA
MS. LISA M. MCNAMARA (NP)
-MA
ANDREA L POISSON IRANI (M.D.)
Internal MedicineMA
STACY L. POMINVILLE (NP)
Nurse PractitionerMA

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

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1790767580 for Unknown Individual.
What should I verify if Unknown Individual is listed inactive?
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 Infectious Disease Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Boston, Massachusetts in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

Similar Providers

DR. MICHAEL GRUNDEL ISON (M.D., M.S.)

Infectious Disease Physician
16223 COLUMBUS AVE
NPI: 1316941222

Unknown Individual

Infectious Disease Physician
PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States
NPI: 1154320216

PRINCY KUMAR

Infectious Disease Physician
PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States
NPI: 1790784957

JOSEPH TIMPONE

Infectious Disease Physician
PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States
NPI: 1134129059

TODD B ELLERIN (M.D.)

Infectious Disease Physician
South Shore Hospital, 55, Fogg Road, South Weymouth, Weymouth, Norfolk County, Massachusetts, 02190, United States
NPI: 1205837176

NICOLAS CHAFIC ISSA (MD)

Infectious Disease Physician
Brigham and Women's Hospital, 75, Francis Street, Roxbury, Boston, Suffolk County, Massachusetts, 02115, United States
NPI: 1346234622

DR. DONALD M. THEA (M.D.)

Infectious Disease Physician
Doctors Office Building, 720, Harrison Avenue, South End, Boston, Suffolk County, Massachusetts, 02118, United States
NPI: 1922096502

DR. JEFFREY A GELFAND (MD)

Allergy & Immunology Physician
Charlestown Post Office (mobile), Pattern Close, St Austell Bay, Charlestown, Cornwall, England, PL25 3FQ, United Kingdom
NPI: 1114917986

DR. EDWARD THOMAS RYAN (MD)

Infectious Disease Physician
Massachusetts General Hospital, 55, Fruit Street, Beacon Hill, Boston, Suffolk County, Massachusetts, 02114, United States
NPI: 1255321022