Unknown Individual – General Practice Physician, NPI 1366677643

Unknown Individual is a healthcare provider. based in Cambridge, Massachusetts. specializing in General Practice Physician. They hold a License No. 50381 (MA). The NPI Number for Unknown Individual is 1366677643

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1366677643
Phone
(617) 825-0040
Address
9 CHAUNCY ST
Deactivation Date
17 April 2024
Data current as of
20 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

  • 9, Chauncy Street, Neighborhood Nine, Cambridge, Middlesex County, Massachusetts, 02318, United States

    #64

    CAMBRIDGE, MA 021382610

    Phone: (617) 825-0040

    Type: Location

  • PO BOX 400877

    CAMBRIDGE, MA 021400009

    Phone: (617) 825-0040

    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 02138)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1366677643; it appears in the national provider directory.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within General Practice Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Massachusetts?
You will see Cambridge, Massachusetts on file for Unknown Individual alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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