Unknown Individual – Emergency Medicine Physician, NPI 1952374241

Unknown Individual is a healthcare provider. based in Warwick, Rhode Island. specializing in Emergency Medicine Physician. They hold a License No. 6015 (RI). The NPI Number for Unknown Individual is 1952374241

Main info

Organization
Inactive
53 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1952374241
Phone
(401) 737-7000
Address
455 TOLL GATE RD
Deactivation Date
19 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4017377010
Graduation Year
1973 (53 years ago)
PAC ID
6901856657
Group Practice PAC ID
0244413391
Professional Enrollment ID
I20050131000215
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

  • Kent Hospital, 455, Toll Gate Road, Apponaug Historic District, Apponaug, Warwick, Kent County, Rhode Island, 02886, United States

    WARWICK, RI 028862759

    Phone: (401) 737-7000

    Type: Location

  • 50, Sundale Road, Cranston, Providence County, Rhode Island, 02921, United States

    CRANSTON, RI 029212010

    Phone: (401) 946-7597

    Type: Mailing

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 02886)

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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: 0244413391View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YRI
Internal MedicineRI
Physician AssistantRI
A N E S T H E S I O L O G YRI
A N E S T H E S I O L O G YRI
Cardiovascular Disease (Cardiology), Interventional Cardiology, Interventional Cardiology, Cardiovascular Disease (Cardiology)RI
Cardiovascular Disease (Cardiology)MA
Internal Medicine, Pulmonary Disease, Pulmonary DiseaseMA
O B S T E T R I C S/ G Y N E C O L O G YNY
-RI

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1952374241 in the public NPI dataset.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Emergency Medicine Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Warwick, Rhode Island in the data we show; additional addresses may exist on the full record.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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