Unknown Individual – Internal Medicine Physician, NPI 1023129913

Internal Medicine Physician

Unknown Individual is a healthcare provider. based in Newport, Oregon. specializing in Internal Medicine Physician. They hold a License No. MD16556 (OR). The NPI Number for Unknown Individual is 1023129913

Main info

Organization

Inactive

40 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1023129913

Phone

(541) 265-8816

Address

1010 SW COAST HWY STE 201

Deactivation Date

27 November 2025

Doctor Profile

Medical School Name

OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

5416823550

Graduation Year

1986 (40 years ago)

PAC ID

3476577784

Group Practice PAC ID

7416853833

Professional Enrollment ID

I20060125000276

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience24

Completeness75

Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

201, Southwest Coast Highway, Nye Beach, Newport, Lincoln County, Oregon, 97365, United States
NEWPORT, OR 973655240
Phone: (541) 265-8816
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 97365)

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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	OR	83036	Hemoglobin A1C level	442	220

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: 7416853833View full group profile

Name	Specialty	State
MAUREEN MCMAHON PAULUS (PA)	Physician Assistant	CA
PATRICK MATTHEW JR. FARR	-	OR
MIRIAM ENID GAGE (MD)	-	OR
DR. DARIA SCIARRONE (M.D.)	-	OR
DR. PAUL HAN-BAE CHOI (MD)	P S Y C H I A T R Y	OR
MADHAVI MURTHY (MD)	Internal Medicine	OR
DIANA LEA LAMBOY (FNP)	Nurse Practitioner	OR
DR. GAIL JEAN HACKER (MD)	-	OR
JASON DAVIDSON ROBERTS (FNP)	Nurse Practitioner	OR
JANET K DEAR (MD)	Family Practice	NC

Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?

Yes — Unknown Individual has NPI 1023129913 on file in the registry.

Does inactive status mean Unknown Individual stopped practicing?

Inactive registry status can reflect deactivation, consolidation, or data lag.

What area of care is associated with Unknown Individual?

Unknown Individual's record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.

What practice footprint exists for Unknown Individual?

Travel planning: use Newport, Oregon as the reference point for Unknown Individual, then confirm.

Can I trust this NPI listing for Unknown Individual?

The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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