Unknown Individual – Interventional Pain Medicine Physician, NPI 1023106986

Unknown Individual is a healthcare provider. based in Glendale, Arizona. specializing in Interventional Pain Medicine Physician. They hold a License No. 24017 (AZ). The NPI Number for Unknown Individual is 1023106986

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1023106986
Phone
(623) 561-8252
Address
5281 N 99TH AVENUE
Deactivation Date
30 January 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 5281, North 99th Avenue, Glendale, Maricopa County, Arizona, 85305, United States

    SUITE 100

    GLENDALE, AZ 853053105

    Phone: (623) 561-8252

    Fax: (623) 516-8253

    Type: Mailing

  • 8630, East Via de Ventura, McCormick Ranch, Scottsdale, Maricopa County, Arizona, 85258, United States

    SCOTTSDALE, AZ 852583326

    Phone: (623) 516-8252

    Fax: (623) 516-8253

    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 85305)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1023106986 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Interventional Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Glendale, Arizona because that is what the record indicates for Unknown Individual.
What if Glendale, Arizona seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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