Unknown Individual – Surgery Physician, NPI 1780679316

Unknown Individual is a healthcare provider. based in Des moines, Iowa. specializing in Surgery Physician. They hold a License No. 18763 (IA). The NPI Number for Unknown Individual is 1780679316

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1780679316
Phone
(515) 875-9925
Address
PO BOX 4907
Deactivation Date
4 June 2026
Data current as of
10 June 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

  • Des Moines Post Office, 1165, 2nd Avenue, Des Moines, Polk County, Iowa, 50318, United States

    DES MOINES, IA 503064907

    Phone: (515) 875-9925

    Fax: (515) 875-9923

    Type: Mailing

  • The Iowa Clinic, 5950, University Avenue, West Lakes Office Park, West Des Moines, Boone Township, Dallas County, Iowa, 50266, United States

    STE 135

    WEST DES MOINES, IA 502668216

    Phone: (515) 875-9795

    Fax: (515) 875-9796

    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 50306)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1780679316.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Surgery Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Des Moines, Iowa in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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