Unknown Individual – Family Medicine Physician, NPI 1497775027

Unknown Individual is a healthcare provider. based in Minneapolis, Minnesota. specializing in Family Medicine Physician. They hold a License No. 28386 (MN). The NPI Number for Unknown Individual is 1497775027

Main info

Organization
Inactive
45 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1497775027
Phone
(612) 262-1166
Address
PO BOX 43
Deactivation Date
2 April 2026

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
9528351311
Graduation Year
1981 (45 years ago)
PAC ID
8729164579
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20080319000656
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • PO BOX 43

    MR 10860

    MINNEAPOLIS, MN 554400043

    Phone: (612) 262-1166

    Fax: (612) 262-9035

    Type: Mailing

  • 8675 VALLEY CREEK RD

    WOODBURY, MN 551252337

    Phone: (651) 241-3000

    Type: Location

  • Main Street South, Hutchinson, McLeod County, Minnesota, 55350, United States

    HUTCHINSON, MN 553505000

    Phone: (320) 234-5000

    Type: Mailing

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 minutes8988$0
99213Established patient office or other outpatient visit, 20-29 minutes4848$0
81001Manual urinalysis test with examination using microscope, automated3736$0
87086Bacterial colony count, urine2726$0
36415Insertion of needle into vein for collection of blood sample1616$0
View full utilization report →

Insurance plans in this area (ZIP 55440)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1497775027 is assigned to Unknown Individual under the national enumeration system.
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 Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Minneapolis, Minnesota for Unknown Individual; download NPPES for the complete set.
What if Minneapolis, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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