Unknown Individual – Emergency Medicine Physician, NPI 1861432197

Unknown Individual is a healthcare provider. based in Federal way, Washington. specializing in Emergency Medicine Physician. They hold a License No. MD00033735 (WA). The NPI Number for Unknown Individual is 1861432197

Main info

Organization
Inactive
33 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1861432197
Phone
(253) 838-6180
Address
505 S 336TH ST
Deactivation Date
18 October 2022

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3602562000
Graduation Year
1993 (33 years ago)
PAC ID
6204869654
Group Practice PAC ID
9739092065
Professional Enrollment ID
I20050915000630
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

  • Mortgage Express, 505, South 336th Street, Federal Way, King County, Washington, 98003-5402, United States

    SUITE 600

    FEDERAL WAY, WA 980036328

    Phone: (253) 838-6180

    Fax: (253) 838-6418

    Type: Mailing

  • Kadlec Regional Medical Center, 888, Swift Boulevard, Richland, Benton County, Washington, 99352, United States

    RICHLAND, WA 993523514

    Phone: (509) 942-2159

    Fax: (509) 942-2757

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $77.

Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.

Last reported payment date: 2024-05-21 • Largest payer in this snapshot: Smith+Nephew, Inc. ($57).

Total Amount

$77

General + Research + Ownership

Payments

3

Total payment records

General Amount

$77

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-21

Latest reported date

Top Companies

Largest payers in this snapshot

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.

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

Insurance plans in this area (ZIP 98003)

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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: 9739092065View full group profile
NameSpecialtyState
P S Y C H I A T R YWA
Physician AssistantCA
Family PracticeWA
P A T H O L O G YMN
-WA
-WA
P S Y C H I A T R YWA
Physical Medicine And RehabilitationWA
-VA
Family PracticeWA

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1861432197?
NPI 1861432197 belongs to Unknown Individual; compare other details if you need extra assurance.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Federal Way?
Public fields place Unknown Individual around Federal Way, 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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