Unknown Individual – Family Medicine Physician, NPI 1023056314

Unknown Individual is a healthcare provider. based in Watertown, Massachusetts. specializing in Family Medicine Physician. They hold a License No. 27127 (MA). The NPI Number for Unknown Individual is 1023056314

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1023056314
Phone
(617) 924-5010
Address
428 MOUNT AUBURN ST
Deactivation Date
19 June 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

  • 428, Mount Auburn Street, East Watertown, Watertown, Middlesex County, Massachusetts, 20478, United States

    C/O ATTY Z. KAPRIELIAN

    WATERTOWN, MA 024721919

    Phone: (617) 924-5010

    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 02472)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1023056314 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Watertown, Massachusetts for Unknown Individual based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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