Unknown Individual – Sports Medicine (Neuromusculoskeletal Medicine) Physician, NPI 1821068909

Unknown Individual is a healthcare provider. based in Bethany beach, Delaware. specializing in Sports Medicine (Neuromusculoskeletal Medicine) Physician. They hold a License No. D0053962 (MD). The NPI Number for Unknown Individual is 1821068909

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1821068909
Phone
(443) 517-7261
Address
409 SALT POND RD
Deactivation Date
8 March 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:0State licenses:4Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Salt Pond Road, Villas of Bethany West, Bethany Beach, Sussex County, Delaware, 19930, United States

    BETHANY BEACH, DE 199309595

    Phone: (443) 517-7261

    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 19930)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1821068909 as the unique 10-digit identifier.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Sports Medicine (Neuromusculoskeletal Medicine) Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Bethany Beach?
Public fields place Unknown Individual around Bethany Beach, Delaware. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.