Unknown Individual – Family Medicine Physician, NPI 1033191549

Unknown Individual is a healthcare provider. based in Seattle, Washington. specializing in Family Medicine Physician. They hold a License No. MD00026679 (WA). The NPI Number for Unknown Individual is 1033191549

Main info

Organization
Inactive
40 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1033191549
Phone
(425) 899-3292
Address
PO BOX 34036
Deactivation Date
28 January 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
4253384000
Graduation Year
1986 (40 years ago)
PAC ID
8527197565
Group Practice PAC ID
8527099456
Professional Enrollment ID
I20100528000690
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

Loading map...

Provider Addresses for Unknown Individual

  • PO BOX 34036

    SEATTLE, WA 981241036

    Phone: (425) 899-3292

    Fax: (425) 899-3269

    Type: Mailing

  • 17000, 140th Avenue Northeast, Woodinville, King County, Washington, 98072, United States

    SUITE 101

    WOODINVILLE, WA 980726928

    Phone: (425) 481-6363

    Fax: (425) 488-4971

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 98124)

Loading plans...

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: 8527099456View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1033191549 as the unique 10-digit identifier.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Seattle, Washington.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

Similar Providers

400 COLONNADE DR STE 160
NPI: 1518969575

JAMES C COGHLAN (MD)

Family Medicine Physician
Medical Arts Building, 1530, North 115th Street, Haller Lake, Seattle, King County, Washington, 98133, United States
NPI: 1922003896

LAURIE L KREITER (MD)

Family Medicine Physician
Virginia Mason Hospital & Seattle Medical Center, 1100, 9th Avenue, Central Business District, First Hill, Seattle, King County, Washington, 98101, United States
NPI: 1407852742

JONATHAN W GRYMALOSKI (M.D.)

Family Medicine Physician
PO BOX 34703
NPI: 1790782209

DR. KIWAN PAIK (M.D.)

Family Medicine Physician
SCA Proton Therapy Center, 1570, North 115th Street, Haller Lake, Seattle, King County, Washington, 98133, United States
NPI: 1912904285

KIMBERLY YU-YI LIU (DO)

Family Medicine Physician
Evergreen, 8980, 161st Avenue Northeast, Redmond, King County, Washington, 98052, United States
NPI: 1467459487

DR. ANDREW W JACOBSON (M.D.)

Family Medicine Physician
8110, Timberlake Way, Sacramento, Sacramento County, California, 95823, United States
NPI: 1154329407

DR. LINDY SUE GRIFFIN (D.O.)

Family Medicine Physician
Medical Dental Building, 509, Olive Way, Central Business District, Belltown, Seattle, King County, Washington, 98101, United States
NPI: 1912906439

KIMBERLY J MCDERMOTT (MD)

Pediatrics Physician
4800 Sand Point Way
NPI: 1437159209