Unknown Individual – Family Medicine Physician, NPI 1972588507

Unknown Individual is a healthcare provider. based in Needham, Massachusetts. specializing in Family Medicine Physician. They hold a License No. 33120 (MA). The NPI Number for Unknown Individual is 1972588507

Main info

Organization
Inactive
61 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1972588507
Phone
(781) 444-8844
Address
131 FAIR OAKS PARK
Deactivation Date
29 January 2026

Doctor Profile

Medical School Name
UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1965 (61 years ago)
PAC ID
8022041383
Professional Enrollment ID
I20050916000164
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

Provider Addresses for Unknown Individual

  • 131, Fair Oaks Park, Needham Heights, Needham, Norfolk County, Massachusetts, 02492, United States

    NEEDHAM, MA 024923015

    Phone: (781) 444-8844

    Type: Mailing

  • 145 ROSEMARY ST STE C

    NEEDHAM, MA 024943259

    Phone: (781) 444-5515

    Fax: (781) 444-1866

    Type: Location

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes155102$0
99215Established patient office or other outpatient visit, 40-54 minutes153118$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and2416$0
99496Transitional care management services for problem of high complexity1411$0
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Insurance plans in this area (ZIP 02492)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1972588507.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Needham, Massachusetts in the same public data insurers reference.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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