Unknown Individual – Internal Medicine Physician, NPI 1386620508

Unknown Individual is a healthcare provider. based in Bloomfield, Connecticut. specializing in Internal Medicine Physician. They hold a License No. 0006974 (CT). The NPI Number for Unknown Individual is 1386620508

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1386620508
Phone
(860) 242-4000
Address
701 COTTAGE GROVE RD
Deactivation Date
20 December 2005
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

  • 701, Cottage Grove Road, Bloomfield, Hartford County, Connecticut, 06002, United States

    BLOOMFIELD, CT 060023080

    Phone: (860) 242-4000

    Fax: (860) 243-8286

    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.

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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 06002)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1386620508 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Bloomfield, Connecticut?
If you are local to Bloomfield, Connecticut, Unknown Individual may be relevant to your search.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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