Unknown Individual – Endocrinology, Diabetes & Metabolism Physician, NPI 1891797346

Unknown Individual is a healthcare provider. based in Portland, Oregon. specializing in Endocrinology, Diabetes & Metabolism Physician. They hold a License No. MD18768 (OR). The NPI Number for Unknown Individual is 1891797346

Main info

Organization
Inactive
56 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1891797346
Phone
(503) 256-4096
Address
5050 NE HOYT ST
Deactivation Date
6 February 2025

Doctor Profile

Medical School Name
JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Secondary Phone
5032564096
Graduation Year
1970 (56 years ago)
PAC ID
6800983453
Group Practice PAC ID
1850363003
Professional Enrollment ID
I20101104000573
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

  • 5050, Northeast Hoyt Street, North Tabor, Portland, Metro, Multnomah County, Oregon, 97213, United States

    SUITE 317

    PORTLAND, OR 972132991

    Phone: (503) 256-4096

    Fax: (503) 256-0101

    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
99214Established patient office or other outpatient visit, 30-39 minutes11845$0
82962Blood glucose (sugar) test performed by hand-held instrument5827$0
83036Hemoglobin a1c level5827$0
99213Established patient office or other outpatient visit, 20-29 minutes3419$0
View full utilization report →

Insurance plans in this area (ZIP 97213)

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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: 1850363003View full group profile
NameSpecialtyState
E N D O C R I N O L O G YOR
E N D O C R I N O L O G YOR

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1891797346 if you need a stable reference for Unknown Individual.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Endocrinology, Diabetes & Metabolism Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Portland, Oregon for Unknown Individual; download NPPES for the complete set.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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