Unknown Individual – Urology Physician, NPI 1396743399

Unknown Individual is a healthcare provider. based in Worcester, Massachusetts. specializing in Urology Physician. They hold a License No. 29622 (MA). The NPI Number for Unknown Individual is 1396743399

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1396743399
Phone
(508) 754-3566
Address
340 MAIN ST
Deactivation Date
26 March 2026
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

  • 340, Main Street, Leominster, Worcester County, Massachusetts, 01453, United States

    STE 670

    WORCESTER, MA 016081604

    Phone: (508) 754-3566

    Fax: (508) 798-8012

    Type: Mailing

  • Guild Medical Center, 825, Washington Street, Winslows, Norwood, Norfolk County, Massachusetts, 02062, United States

    STE 360

    NORWOOD, MA 020623441

    Phone: (781) 762-0671

    Fax: (781) 762-0671

    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 01608)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1396743399.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Urology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Worcester, Massachusetts may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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