Unknown Individual – Specialist, NPI 1174545024

Unknown Individual is a healthcare provider. based in Bedford, Massachusetts. specializing in Specialist. They hold a License No. 37666 (MA). The NPI Number for Unknown Individual is 1174545024

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1174545024
Phone
(781) 687-2483
Address
200 SPRINGS RD
Deactivation Date
19 July 2023
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

  • Edith Nourse Rogers Memorial Veterans Hospital, 200, Springs Road, Bedford, Middlesex County, Massachusetts, 01730, United States

    BEDFORD, MA 017301114

    Phone: (781) 687-2483

    Type: Location

  • 18, Flintlock Road, Lexington, Middlesex County, Massachusetts, 02420, United States

    LEXINGTON, MA 024201704

    Phone:

    Type: Mailing

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 01730)

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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 1174545024.
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 Other Service Providers. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Bedford?
Public fields place Unknown Individual around Bedford, Massachusetts. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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