Unknown Individual – Geriatric Medicine (Internal Medicine) Physician, NPI 1104885201

Unknown Individual is a healthcare provider. based in New rochelle, New York. specializing in Geriatric Medicine (Internal Medicine) Physician. They hold a License No. 163439 (NY). The NPI Number for Unknown Individual is 1104885201

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1104885201
Phone
(914) 637-1357
Address
16 GUION PL
Deactivation Date
1 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9146321234
Graduation Year
1983 (43 years ago)
PAC ID
1850484874
Professional Enrollment ID
I20070907000318
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

  • Montefiore New Rochelle, 16, Guion Place, New Rochelle, New York, 10801, United States

    ISELIN HALL, ROOM 107

    NEW ROCHELLE, NY 108015503

    Phone: (914) 637-1357

    Fax: (914) 637-1489

    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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes8831$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5013$0
99214Established patient office or other outpatient visit, 30-39 minutes4436$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes3212$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and1716$0
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Insurance plans in this area (ZIP 10801)

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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 1104885201.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with New Rochelle?
Public fields place Unknown Individual around New Rochelle, New York. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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