Unknown Individual – Internal Medicine Physician, NPI 1598841686

Internal Medicine Physician

Unknown Individual is a healthcare provider. based in Elko, Nevada. specializing in Internal Medicine Physician. They hold a License No. 7482 (NV). The NPI Number for Unknown Individual is 1598841686

Main info

Organization

Inactive

34 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1598841686

Phone

(775) 778-0386

Address

1775 BROWNING WAY

Deactivation Date

25 November 2020

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5058411234

Graduation Year

1992 (34 years ago)

PAC ID

5193857043

Group Practice PAC ID

9234041708

Professional Enrollment ID

I20181120002384

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

1775, Browning Way, Elko, Elko County, Nevada, 89801, United States
SUITE 104
ELKO, NV 898018348
Phone: (775) 778-0386
Fax: (775) 777-1152
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.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89801)

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Provider's Procedures

Unknown Individual performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
INTERNAL MEDICINE	NV	82270	Stool analysis for blood to screen for colon tumors	22	22

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: 9234041708View full group profile

Name	Specialty	State
ROBYN HITCHCOCK (MD)	-	WA
MR. MITCHELL CONSTANT (PA)	-	NM
KIMBERLEY B. OLDEWAGE (PA-C)	-	NM
DARREN M SHAFER (DO)	-	NM
REBECCA LYNN BOURBON (P.A.-C)	-	NM
DR. RICHARD L JR. CONVERSE (MD)	Cardiovascular Disease (Cardiology)	NM
TERESA M MAZUR (MD)	Emergency Medicine	NM
HUYENTRANG VU (MD)	Internal Medicine	NM
GREGORY TRUITT SHERR (M.D.)	N E U R O S U R G E R Y	FL
MS. LENORA MICHELLE MATHES (MD)	-	NM