Unknown Individual – Internal Medicine Physician, NPI 1417939844

Internal Medicine Physician

Unknown Individual is a healthcare provider. based in Pahrump, Nevada. specializing in Internal Medicine Physician. They hold a License No. 16165 (NV). The NPI Number for Unknown Individual is 1417939844

Main info

Organization

Inactive

51 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1417939844

Phone

(775) 727-7022

Address

2270 COMMERCIAL DR

Deactivation Date

17 January 2022

Doctor Profile

Medical School Name

UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY

Secondary Phone

7757277022

Graduation Year

1975 (51 years ago)

PAC ID

8224077458

Group Practice PAC ID

7719252915

Professional Enrollment ID

I20160120002033

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

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Provider Addresses for Unknown Individual

2270, Commercial Drive, Pahrump, Nye County, Nevada, 89048, United States
PAHRUMP, NV 890484704
Phone: (775) 727-7022
Fax: (877) 496-2150
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.

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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.

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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 89048)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?

In the U.S., Unknown Individual is identified by NPI 1417939844.

Does inactive mean outdated data for Unknown Individual?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.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.

What city is tied to Unknown Individual?

The directory associates Unknown Individual with Pahrump, Nevada. Check all listed addresses for suites or satellite offices.

Who maintains Unknown Individual's record?

Providers certify NPPES data; CMS hosts the public file you are viewing.