Unknown Individual – Family Medicine Physician, NPI 1003004136

Unknown Individual is a healthcare provider. based in Osceola, Iowa. specializing in Family Medicine Physician. They hold a License No. 17153 (IA). The NPI Number for Unknown Individual is 1003004136

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1003004136
Phone
(641) 342-4272
Address
1015 LAKESHORE DR
Deactivation Date
6 February 2025
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

  • 1015, Lakeshore Drive, Osceola, Clarke County, Iowa, 50213, United States

    OSCEOLA, IA 502131604

    Phone: (641) 342-4272

    Fax: (641) 342-4271

    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 50213)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1003004136.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Family Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Iowa?
You will see Osceola, Iowa on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1003004136. Always confirm identity and privileges with the practice and licensing boards.

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