Unknown Individual – Orthopaedic Surgery Physician, NPI 1003890955

Unknown Individual is a healthcare provider. based in Springfield, Massachusetts. specializing in Orthopaedic Surgery Physician. They hold a License No. 45200 (MA). The NPI Number for Unknown Individual is 1003890955

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1003890955
Phone
(413) 748-7300
Address
299 CAREW ST
Deactivation Date
17 August 2022
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

  • 299, Carew Street, Liberty Heights, Springfield, Hampden County, Massachusetts, 01014, United States

    SUITE 301

    SPRINGFIELD, MA 011042301

    Phone: (413) 748-7300

    Fax: (413) 748-7325

    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 01104)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1003890955 if you need a stable reference for Unknown Individual.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Springfield, Massachusetts for Unknown Individual based on available NPPES addresses.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1003890955. Always confirm identity and privileges with the practice and licensing boards.

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Unknown Individual

Orthopaedic Surgery Physician
299, Carew Street, Liberty Heights, Springfield, Hampden County, Massachusetts, 01014, United States
NPI: 1699750620