Unknown Individual – Urology Physician, NPI 1386688422

Unknown Individual is a healthcare provider. based in Silverdale, Washington. specializing in Urology Physician. They hold a License No. MD00044442 (WA). The NPI Number for Unknown Individual is 1386688422

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1386688422
Phone
Not provided
Address
9621 RIDGETOP BLVD NW
Deactivation Date
3 July 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
3607823200
Graduation Year
1977 (49 years ago)
PAC ID
5395726194
Group Practice PAC ID
0547173866
Professional Enrollment ID
I20050411000414
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

  • The Doctors Clinic - Ridgetop East, 9621, Ridgetop Boulevard Northwest, Silverdale, Kitsap County, Washington, 98383, United States

    SILVERDALE, WA 983838502

    Phone:

    Type: Mailing

  • 9398, Ridgetop Boulevard Northwest, Silverdale, Kitsap County, Washington, 98383, United States

    SILVERDALE, WA 983838505

    Phone: (360) 782-3200

    Fax: (360) 782-3244

    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.

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

Insurance plans in this area (ZIP 98383)

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Provider's Procedures

Unknown Individual performs procedures in Urology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYWA51798Ultrasound measurement of bladder capacity after voiding389296
UROLOGYWA55700Biopsy of prostate gland3636
UROLOGYWA76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle3837

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: 0547173866View full group profile

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1386688422.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Urology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Silverdale, Washington for Unknown Individual; download NPPES for the complete set.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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