Unknown Individual – General Practice Physician, NPI 1831248145

Unknown Individual is a healthcare provider. based in Tacoma, Washington. specializing in General Practice Physician. They hold a License No. 23975 (NE). The NPI Number for Unknown Individual is 1831248145

Main info

Organization
Inactive
21 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1831248145
Phone
(360) 968-1511
Address
MADIGAN ARMY MEDICAL CTR
Deactivation Date
14 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4123911137
Graduation Year
2005 (21 years ago)
PAC ID
1355696188
Group Practice PAC ID
9739260019
Professional Enrollment ID
I20180620000898
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

  • Madigan Army Medical Center, 9040, Jackson Avenue, Tacoma, Pierce County, Washington, 98431, United States

    TACOMA, WA 984310001

    Phone: (360) 968-1511

    Type: Location

  • 1144, Loyola Street Northeast, Georgetowne Estates, Thompson Place, Olympia, Thurston County, Washington, 98516, United States

    OLYMPIA, WA 985165451

    Phone: (360) 491-4417

    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.

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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 98431)

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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: 9739260019View full group profile

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1831248145.
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 General Practice Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Tacoma?
Public fields place Unknown Individual around Tacoma, Washington. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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