Unknown Individual – Anesthesiology Physician, NPI 1366447666

Anesthesiology Physician

Unknown Individual is a healthcare provider. based in Poughkeepsie, New York. specializing in Anesthesiology Physician. They hold a License No. 128797 (NY). The NPI Number for Unknown Individual is 1366447666

Main info

Organization

Inactive

58 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1366447666

Phone

(845) 790-2661

Address

2 CATHARINE ST

Deactivation Date

21 July 2022

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2124724802

Graduation Year

1968 (58 years ago)

PAC ID

3476518432

Group Practice PAC ID

0244385987

Professional Enrollment ID

I20041201000615

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

2 CATHARINE ST
P O BOX 550
POUGHKEEPSIE, NY 126013100
Phone: (845) 790-2661
Fax: (845) 790-2675
Type: Mailing
227, 19th Street, Sunset Park, Brooklyn, Kings County, New York, Stone Street Historic District, New York, 11232, United States
CABRINI MEDICAL CENTER
NEW YORK, NY 100032674
Phone: (212) 995-6160
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 12601)

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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: 0244385987View full group profile

Name	Specialty	State
DR. SAMUEL AGUHOB (MD)	-	ND

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?

Save NPI 1366447666 if you need a stable reference for Unknown Individual.

Why would Unknown Individual's listing show inactive?

Inactive in NPPES means the identifier is not currently active in that dataset.

What does Unknown Individual treat or focus on?

Patients typically see Unknown Individual under the specialty Anesthesiology Physician. Clinical services aligned with this taxonomy classification.

What location metadata exists for Unknown Individual?

The page summarizes Poughkeepsie, 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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