Unknown Individual – Internal Medicine Physician, NPI 1811986177
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for Unknown Individual
2150, Main Street, Metro Center, North End, Springfield, Hampden County, Massachusetts, 01107, United States
SPRINGFIELD, MA 011043300
Phone: (413) 739-5676
Fax: (413) 739-2278
Type: Mailing
701, Enfield Street, North Thompsonville, Thompsonville, Enfield, Hartford County, Connecticut, 06082, United States
ENFIELD, CT 060822961
Phone: (860) 741-6058
Fax: (860) 741-6864
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $25.
Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.
Last reported payment date: 2023-01-31 • Largest payer in this snapshot: ABBVIE INC. ($25).
Total Amount
$25
General + Research + Ownership
Payments
1
Total payment records
General Amount
$25
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $25 |
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 01104)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | CT | 85610 | Blood test, clotting time | 244 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| Physician Assistant | MA | |
| Physician Assistant | MA | |
| - | MA | |
| - | MA | |
| Internal Medicine | MA | |
| - | MA | |
| Internal Medicine | MA | |
| Internal Medicine | MA | |
| Internal Medicine | MA |
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.