Unknown Individual – Geriatric Medicine (Family Medicine) Physician, NPI 1669652962

Unknown Individual is a healthcare provider. based in Anchorage, Alaska. specializing in Geriatric Medicine (Family Medicine) Physician. They hold a License No. 945 (AK). The NPI Number for Unknown Individual is 1669652962

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1669652962
Phone
(907) 565-6522
Address
PO BOX 196276
Deactivation Date
9 October 2025
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 196276

    ANCHORAGE, AK 995196276

    Phone: (907) 565-6522

    Fax: (907) 565-6592

    Type: Mailing

  • 4900, Eagle Street, Anchorage, Alaska, 99503, United States

    ANCHORAGE, AK 995037446

    Phone: (907) 565-6522

    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 99519)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1669652962.
What is the next step if Unknown Individual is inactive?
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 Geriatric Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Anchorage, Alaska for Unknown Individual based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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