Unknown Individual – Internal Medicine Physician, NPI 1023046224

Unknown Individual is a healthcare provider. based in Springfield, Vermont. specializing in Internal Medicine Physician. They hold a License No. 042-0005932 (VT). The NPI Number for Unknown Individual is 1023046224

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1023046224
Phone
(802) 886-2526
Address
PO BOX 710
Deactivation Date
28 August 2024

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Secondary Phone
8028852151
Graduation Year
1974 (52 years ago)
PAC ID
6507757853
Group Practice PAC ID
6507760337
Professional Enrollment ID
I20040324000710
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

  • 710, Hatfield Point, Springfield Parish, New Brunswick, Canada

    SPRINGFIELD, VT 051560710

    Phone: (802) 886-2526

    Fax: (802) 886-2225

    Type: Mailing

  • 368, River Street, North Springfield, Springfield, Windsor County, Vermont, 05156, United States

    SPRINGFIELD, VT 051562242

    Phone: (802) 886-2526

    Fax: (802) 886-2225

    Type: Location

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
83036Hemoglobin a1c level9459$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only5645$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing1513$0
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Insurance plans in this area (ZIP 05156)

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Provider's Procedures

Unknown Individual performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEVT81002Urinalysis, manual test1312

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: 6507760337View full group profile
NameSpecialtyState
General SurgeryNH
Emergency MedicineNH
Physical Therapist In Private PracticeVT
-WA
O T O L A R Y N G O L O G YVT
Internal MedicineNJ
Family Practice, HospitalistME
Physician AssistantVT
-VT
Emergency MedicineVT

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1023046224 uniquely identifies Unknown Individual in U.S. healthcare data.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Springfield, Vermont?
For routing, start with Springfield, Vermont for Unknown Individual, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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