Unknown Individual – Emergency Medicine Physician, NPI 1205897675

Unknown Individual is a healthcare provider. based in Sioux city, Iowa. specializing in Emergency Medicine Physician. They hold a License No. 22585 (IA). The NPI Number for Unknown Individual is 1205897675

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1205897675
Phone
(712) 279-3789
Address
2720 STONE PARK BLVD
Deactivation Date
3 March 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • UnityPoint Health | St. Luke's, 2720, Stone Park Boulevard, Sioux City, Woodbury County, Iowa, 51104, United States

    SIOUX CITY, IA 511043734

    Phone: (712) 279-3789

    Fax: (712) 279-3613

    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 51104)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1205897675.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Sioux City?
Public fields place Unknown Individual around Sioux City, Iowa. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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