Unknown Individual – Emergency Medicine Physician, NPI 1992762595

Unknown Individual is a healthcare provider. based in Seattle, Washington. specializing in Emergency Medicine Physician. They hold a License No. 0101239302 (VA). The NPI Number for Unknown Individual is 1992762595

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1992762595
Phone
(888) 398-6618
Address
PO BOX 34936
Deactivation Date
21 October 2023

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
2406862300
Graduation Year
1983 (43 years ago)
PAC ID
9133175508
Group Practice PAC ID
1052558954
Professional Enrollment ID
I20060427000108
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

  • PO BOX 34936

    DEPT. 4227

    SEATTLE, WA 981241936

    Phone: (888) 398-6618

    Type: Mailing

  • VCU Health Community Memorial Hospital, 125, Buena Vista Circle, South Hill, Mecklenburg County, Virginia, 23970, United States

    SOUTH HILL, VA 239701431

    Phone: (434) 447-3151

    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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making117109$0
99284Emergency department visit with moderate level of medical decision making9086$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only8781$0
99291Critical care, first 30-74 minutes2424$0
99283Emergency department visit with low level of medical decision making1717$0
View full utilization report →

Insurance plans in this area (ZIP 98124)

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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: 1052558954View full group profile
NameSpecialtyState
Emergency MedicineMD
Emergency MedicineVA
Emergency MedicineVA
Emergency MedicineLA
Emergency MedicineVA
Emergency MedicineMD
-VA
Emergency MedicineMD
Nurse PractitionerVA
Emergency MedicineMI

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1992762595 for Unknown Individual, then check state licensing separately.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Seattle, Washington in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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