Unknown Individual – Geriatric Medicine (Internal Medicine) Physician, NPI 1619932282

Unknown Individual is a healthcare provider. based in Cumberland, Rhode Island. specializing in Geriatric Medicine (Internal Medicine) Physician. They hold a License No. MD09719 (RI). The NPI Number for Unknown Individual is 1619932282

Main info

Organization
Inactive
51 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1619932282
Phone
(401) 333-8500
Address
2138 MENDON RD
Deactivation Date
20 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4013338500
Graduation Year
1975 (51 years ago)
PAC ID
3072655083
Group Practice PAC ID
2163565896
Professional Enrollment ID
I20100128000364
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 2138, Mendon Road, Ashton, Cumberland, Providence County, Rhode Island, 02864, United States

    SUITE 101

    CUMBERLAND, RI 028643834

    Phone: (401) 333-8500

    Fax: (401) 333-5711

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2023-08-22 • Largest payer in this snapshot: Exact Sciences Corporation ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes6125$0
99213Established patient office or other outpatient visit, 20-29 minutes1512$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1211$0
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Insurance plans in this area (ZIP 02864)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1619932282?
NPI 1619932282 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where in Rhode Island is Unknown Individual registered?
Use Cumberland, Rhode Island as the headline location for Unknown Individual here.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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