Unknown Individual – Hematology & Oncology Physician, NPI 1205833084

Unknown Individual is a healthcare provider. based in Kennewick, Washington. specializing in Hematology & Oncology Physician. They hold a License No. MD 60574057 (WA). The NPI Number for Unknown Individual is 1205833084

Main info

Organization
Inactive
36 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1205833084
Phone
(509) 221-2449
Address
3730 PLAZA WAY STE 6200
Deactivation Date
22 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5092216450
Graduation Year
1990 (36 years ago)
PAC ID
5698857159
Group Practice PAC ID
5799035416
Professional Enrollment ID
I20150908000415
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

  • Plaza Way, Kennewick, Benton County, Washington, 99338, United States

    KENNEWICK, WA 993382718

    Phone: (509) 221-2449

    Fax: (509) 221-2433

    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 114 Open Payments records for all available years, with a total value of $2,181.

Total Amount is formed as General ($2,181) + Research ($0) + Ownership ($0) = $2,181.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($226).

Total Amount

$2,181

General + Research + Ownership

Payments

114

Total payment records

General Amount

$2,181

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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
99214Established patient office or other outpatient visit, 30-39 minutes1,505454$0
99215Established patient office or other outpatient visit, 40-54 minutes286144$0
99213Established patient office or other outpatient visit, 20-29 minutes13353$0
99204New patient office or other outpatient visit, 45-59 minutes3030$0
99205New patient office or other outpatient visit, 60-74 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 99338)

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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: 5799035416View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1205833084 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Kennewick, Washington for Unknown Individual; download NPPES for the complete set.
What if Kennewick, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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