Unknown Individual – Anesthesiology Physician, NPI 1508926205

Unknown Individual is a healthcare provider. based in Willimantic, Connecticut. specializing in Anesthesiology Physician. They hold a License No. 000027 (CT). The NPI Number for Unknown Individual is 1508926205

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1508926205
Phone
(860) 423-7558
Address
1185 MAIN ST
Deactivation Date
27 December 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

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Provider Addresses for Unknown Individual

  • Bates & Roper Attorneys at Law, 1185, Main Street, Main Street Historic District, Willimantic, Windham, Windham County, Connecticut, 06226, United States

    WILLIMANTIC, CT 062262093

    Phone: (860) 423-7558

    Type: Location

  • 4, Glenwood Avenue, Thamesville, Norwich, Southeastern Connecticut Planning Region, Connecticut, 06360, United States

    NORWICH, CT 063605206

    Phone: (860) 887-0764

    Type: Mailing

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 06226)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1508926205 as the unique 10-digit identifier.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Willimantic, Connecticut as the reference point for Unknown Individual, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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