Unknown Individual – Family Medicine Physician, NPI 1760419675

Unknown Individual is a healthcare provider. based in Warwick, Rhode Island. specializing in Family Medicine Physician. They hold a License No. 6157 (RI). The NPI Number for Unknown Individual is 1760419675

Main info

Organization
Inactive
54 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1760419675
Phone
(401) 732-6828
Address
215 TOLLGATE ROAD
Deactivation Date
6 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4017326828
Graduation Year
1972 (54 years ago)
PAC ID
0446419766
Group Practice PAC ID
2062671563
Professional Enrollment ID
I20120306000753
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

  • Tollgate Hill Farm Road, Apponaug, Warwick, Kent County, Rhode Island, 02886, United States

    SUITE 309 310

    WARWICK, RI 028864458

    Phone: (401) 732-6828

    Fax: (401) 223-3040

    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 2 Open Payments records for all available years, with a total value of $212.

Total Amount is formed as General ($212) + Research ($0) + Ownership ($0) = $212.

Last reported payment date: 2023-11-22 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($212).

Total Amount

$212

General + Research + Ownership

Payments

2

Total payment records

General Amount

$212

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-22

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02886)

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Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINERI82270Stool analysis for blood to screen for colon tumors1212

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: 2062671563View full group profile
NameSpecialtyState
-RI

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1760419675.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's primary classification?
Family Medicine Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Warwick, Rhode Island as a primary anchor for Unknown Individual unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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