Unknown Individual – Allergy & Immunology (Internal Medicine) Physician, NPI 1912948076

Unknown Individual is a healthcare provider. based in Newton, Massachusetts. specializing in Allergy & Immunology (Internal Medicine) Physician. They hold a License No. 43683 (MA). The NPI Number for Unknown Individual is 1912948076

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1912948076
Phone
(617) 243-6640
Address
2014 WASHINGTON STREET
Deactivation Date
3 November 2021

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
6172436640
Graduation Year
1974 (52 years ago)
PAC ID
6507809035
Group Practice PAC ID
9335182864
Professional Enrollment ID
I20050722000601
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Newton-Wellesley Hospital, 2014, Washington Street, Newton Lower Falls, Newton, Middlesex County, Massachusetts, 02462, United States

    3 NORTH PULMONARY MEDICINE

    NEWTON, MA 02462

    Phone: (617) 243-6640

    Fax: (617) 243-6284

    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 02462)

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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: 9335182864View full group profile
NameSpecialtyState
KAITLYN FLANAGAN
Physician AssistantMA

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1912948076; it appears in the national provider directory.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Allergy & Immunology (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Massachusetts?
You will see Newton, Massachusetts on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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