Unknown Individual – Nephrology Physician, NPI 1942272109

Unknown Individual is a healthcare provider. based in Rochester, Minnesota. specializing in Nephrology Physician. They hold a License No. 30928 (MN). The NPI Number for Unknown Individual is 1942272109

Main info

Organization
Inactive
40 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1942272109
Phone
(507) 284-2511
Address
200 1st St SW
Deactivation Date
13 November 2025

Doctor Profile

Medical School Name
MAYO MEDICAL SCHOOL
Secondary Phone
5072555123
Graduation Year
1986 (40 years ago)
PAC ID
8921165366
Group Practice PAC ID
6507778255
Professional Enrollment ID
I20090330000258

Contacts

Secure Messaging
jgregoire134402@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness85
Years active:0State licenses:2Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 200 1st St SW

    Rochester, MN 55905

    Phone: (507) 284-2511

    Type: Location

  • 4500 SAN PABLO RD S

    JACKSONVILLE, FL 322241865

    Phone: (904) 953-2000

    Type: Mailing

  • 1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes23399$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)13132$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)12132$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7058$0
99215Established patient office or other outpatient visit, 40-54 minutes4235$0
View full utilization report →

Insurance plans in this area (ZIP 55905)

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Provider's Procedures

Unknown Individual performs procedures in Nephrology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYMN90935Hemodialysis procedure with one physician evaluation4131
NEPHROLOGYMN90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older34849

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: 6507778255View full group profile

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1942272109.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where in Minnesota is Unknown Individual registered?
Use Rochester, Minnesota as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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