Unknown Individual – Urology Physician, NPI 1174952105

Unknown Individual is a healthcare provider. based in Burlington, Massachusetts. specializing in Urology Physician. The NPI Number for Unknown Individual is 1174952105

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1174952105
Phone
(781) 744-8085
Address
41 MALL RD
Deactivation Date
28 November 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 41 MALL RD

    BURLINGTON, MA 018050001

    Phone: (781) 744-8085

    Type: Mailing

  • 16 LONG SANDS RD

    YORK, ME 039091147

    Phone: (207) 351-3975

    Fax: (207) 351-3923

    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.

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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 01805)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1174952105.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Urology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Burlington, Massachusetts?
For routing, start with Burlington, Massachusetts for Unknown Individual, then verify phone and hours locally.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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