Unknown Individual – Specialist, NPI 1225035371

Unknown Individual is a healthcare provider. based in Glens falls, New York. specializing in Specialist. They hold a License No. 05021521 (NH). The NPI Number for Unknown Individual is 1225035371

Main info

Organization
Inactive
26 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1225035371
Phone
(518) 932-2008
Address
219 RIDGE ST
Deactivation Date
4 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7163661111
Graduation Year
2000 (26 years ago)
PAC ID
7911999453
Group Practice PAC ID
7719041102
Professional Enrollment ID
I20050217000417
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

  • Ridge Street, Glens Falls, Warren County, New York, 12801, United States

    APT B

    GLENS FALLS, NY 128013127

    Phone: (518) 932-2008

    Type: Mailing

  • Glens Falls Hospital, 100, Park Street, Glens Falls, Warren County, New York, 12801, United States

    GLENS FALLS, NY 128014413

    Phone: (518) 926-1000

    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.

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

Insurance plans in this area (ZIP 12801)

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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: 7719041102View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)PA
A N E S T H E S I O L O G YNY
Certified Registered Nurse Anesthetist (Crna)UT
A N E S T H E S I O L O G YVA
-VT
Certified Registered Nurse Anesthetist (Crna)NY
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)NY
Certified Registered Nurse Anesthetist (Crna)CO

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1225035371.
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 Other Service Providers. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Glens Falls, New York for Unknown Individual; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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