Unknown Individual – Internal Medicine Physician, NPI 1902806631

Unknown Individual is a healthcare provider. based in Alva, Oklahoma. specializing in Internal Medicine Physician. They hold a License No. 14793 (OK). The NPI Number for Unknown Individual is 1902806631

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1902806631
Phone
(580) 327-5442
Address
410 4TH ST
Deactivation Date
19 October 2022

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
5803275442
Graduation Year
1983 (43 years ago)
PAC ID
9234129065
Professional Enrollment ID
I20040514000107
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

Loading map...

Provider Addresses for Unknown Individual

  • 410, 4th Street, The Square, Alva, Woods County, Oklahoma, 73717, United States

    STE G

    ALVA, OK 737172363

    Phone: (580) 327-5442

    Fax: (580) 327-2207

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 73717)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEOK17003Destruction of 2-14 skin growths3314
INTERNAL MEDICINEOK20610Aspiration and/or injection of large joint or joint capsule12874

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1902806631.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Alva?
Public fields place Unknown Individual around Alva, Oklahoma. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

JAMES ROBERT JR. COLVERT (MD)

Internal Medicine Physician
Share Medical Center, 800, Share Drive, Alva, Woods County, Oklahoma, 73717, United States
NPI: 1568475275

DR. SCOTT W BURK (MD)

Internal Medicine Physician
410 4TH ST, SUITE J
NPI: 1538271465

SELF PROVIDER GROUP

Internal Medicine Physician
410, 4th Street, The Square, Alva, Woods County, Oklahoma, 73717, United States
NPI: 1134387855

SMC WEST END RHC

Rural Health Clinic/Center
800 SHARE DR
NPI: 1144534603

LINDA K MCMURPHY MD PLLC

Internal Medicine Physician
410 4TH ST
NPI: 1124337001