Unknown Individual – Family Medicine Physician, NPI 1194049809

Unknown Individual is a healthcare provider. based in Sac city, Iowa. specializing in Family Medicine Physician. They hold a License No. 17550 (IA). The NPI Number for Unknown Individual is 1194049809

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1194049809
Phone
(712) 662-3285
Address
215 S 10TH ST
Deactivation Date
21 July 2021
Data current as of
20 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

  • 215, South 10th Street, Sac City, Sac County, Iowa, 50583, United States

    SAC CITY, IA 505832137

    Phone: (712) 662-3285

    Fax: (712) 662-3285

    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 50583)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1194049809 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
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.
What location shows for Unknown Individual?
We surface Sac City, Iowa for Unknown Individual based on available NPPES addresses.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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