Unknown Individual – Endocrinology, Diabetes & Metabolism Physician, NPI 1649251968

Unknown Individual is a healthcare provider. based in New haven, Connecticut. specializing in Endocrinology, Diabetes & Metabolism Physician. They hold a License No. 017606 (CT). The NPI Number for Unknown Individual is 1649251968

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1649251968
Phone
Not provided
Address
PO BOX 9805
Deactivation Date
20 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

  • 9805, Northwest Ash Street, West Haven, Portland, Metro, Washington County, Oregon, 97229, United States

    300 GEORGE ST 6TH FLOOR

    NEW HAVEN, CT 065360805

    Phone:

    Type: Mailing

  • Primary Care Center, 789, Howard Avenue, New Haven, New Haven County, Connecticut, 06511, United States

    DANA BUILDING - 3RD FLOOR

    NEW HAVEN, CT 065191304

    Phone: (203) 737-1932

    Fax: (203) 785-3588

    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 06536)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1649251968 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to New Haven, Connecticut in the data we show; additional addresses may exist on the full record.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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