Unknown Individual – Dermatology Physician, NPI 1972503050

Unknown Individual is a healthcare provider. based in Colorado springs, Colorado. specializing in Dermatology Physician. They hold a License No. 27840 (CO). The NPI Number for Unknown Individual is 1972503050

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1972503050
Phone
(719) 531-5400
Address
8580 SCARBOROUGH DR
Deactivation Date
27 December 2023
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

  • Scarborough Drive, Fairfax, Colorado Springs, El Paso County, Colorado, 80923, United States

    SUITE 225

    COLORADO SPRINGS, CO 809207583

    Phone: (719) 531-5400

    Fax: (719) 531-9545

    Mailing address matches the actual address.

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 80920)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1972503050.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Dermatology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Colorado is Unknown Individual registered?
Use Colorado Springs, Colorado as the headline location for Unknown Individual here.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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