Unknown Individual – Specialist, NPI 1912901257

Unknown Individual is a healthcare provider. based in Des moines, Iowa. specializing in Specialist. They hold a License No. 20898 (IA). The NPI Number for Unknown Individual is 1912901257

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1912901257
Phone
(515) 263-2412
Address
1301 PENN AVE
Deactivation Date
17 January 2024
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

  • Penn Avenue, Des Moines, Polk County, Iowa, 50316, United States

    STE 406

    DES MOINES, IA 503162350

    Phone: (515) 263-2412

    Fax: (515) 263-2418

    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 50316)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1912901257 for Unknown Individual, then check state licensing separately.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Other Service Providers. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Des Moines, Iowa may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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