Unknown Individual – Psychiatry Physician, NPI 1922083260

Unknown Individual is a healthcare provider. based in Minneapolis, Minnesota. specializing in Psychiatry Physician. They hold a License No. 41489 (MN). The NPI Number for Unknown Individual is 1922083260

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1922083260
Phone
(612) 262-5000
Address
2925 CHICAGO AVE
Deactivation Date
18 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7632363800
Graduation Year
1978 (48 years ago)
PAC ID
4587755210
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20080122000519

Contacts

Secure Messaging
mkhan86596@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-5000

    Type: Mailing

  • 7500, France Avenue South, Parklawn, Edina, Hennepin County, Minnesota, 55435, United States

    EDINA, MN 554353400

    Phone: (952) 835-1311

    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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes12024$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6730$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2211$0
99239Hospital discharge day management, more than 30 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 55407)

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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 1922083260 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.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Minneapolis, Minnesota for Unknown Individual; expand the address list for detail.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1922083260. Always confirm identity and privileges with the practice and licensing boards.

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