Unknown Individual – Cardiovascular Disease Physician, NPI 1144207630

Unknown Individual is a healthcare provider. based in Elmendorf afb, Alaska. specializing in Cardiovascular Disease Physician. They hold a License No. D21228 (MD). The NPI Number for Unknown Individual is 1144207630

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1144207630
Phone
(907) 580-2730
Address
3RD MDG / 560 MI
Deactivation Date
22 October 2021
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

Provider Addresses for Unknown Individual

  • 3RD MDG / 560 MI

    5955 ZEAMER AVENUE

    ELMENDORF AFB, AK 99506

    Phone: (907) 580-2730

    Type: Mailing

  • 3RD MDG / INTERNAL MEDICINE CLINIC

    5955 ZEAMER AVENUE

    ELMENDORF AFB, AK 99506

    Phone: (907) 580-2730

    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.

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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 99506)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1144207630 for Unknown Individual.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Elmendorf Afb, Alaska. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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