Unknown Individual – Internal Medicine Physician, NPI 1891772745

Unknown Individual is a healthcare provider. based in Lowell, Massachusetts. specializing in Internal Medicine Physician. They hold a License No. 72329 (MA). The NPI Number for Unknown Individual is 1891772745

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1891772745
Phone
(978) 458-9651
Address
33 BARTLETT ST
Deactivation Date
6 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1982 (44 years ago)
PAC ID
3971550674
Professional Enrollment ID
I20050405000833
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, Bartlett Street, Centralville, Lowell, Middlesex County, Massachusetts, 01825, United States

    SUITE 504

    LOWELL, MA 018521334

    Phone: (978) 458-9651

    Fax: (978) 970-0378

    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)

CMS reports 21 Open Payments records for all available years, with a total value of $343.

Total Amount is formed as General ($343) + Research ($0) + Ownership ($0) = $343.

Last reported payment date: 2023-08-23 • Largest payer in this snapshot: ABBVIE INC. ($167).

Total Amount

$343

General + Research + Ownership

Payments

21

Total payment records

General Amount

$343

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-23

Latest reported date

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes408212$0
99213Established patient office or other outpatient visit, 20-29 minutes169116$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9393$0
99442Telephone medical discussion with physician, 11-20 minutes4637$0
G0008Administration of influenza virus vaccine4141$0
View full utilization report →

Insurance plans in this area (ZIP 01852)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1891772745 for Unknown Individual, then check state licensing separately.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Lowell, Massachusetts in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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