Unknown Individual – Surgery Physician, NPI 1396744645

Unknown Individual is a healthcare provider. based in Worcester, Massachusetts. specializing in Surgery Physician. They hold a License No. 38459 (MA). The NPI Number for Unknown Individual is 1396744645

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1396744645
Phone
(508) 754-3566
Address
340 MAIN ST
Deactivation Date
6 September 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

  • 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

  • Visitor Parking, 2000, Washington Street, Newton Lower Falls, Newton, Middlesex County, Massachusetts, 02462, United States

    SUITE 665

    NEWTON, MA 024621650

    Phone: (617) 243-3724

    Fax: (617) 243-9993

    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.

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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

What identifier follows Unknown Individual across health systems?
The NPI 1396744645 uniquely identifies Unknown Individual in U.S. healthcare data.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Surgery Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Worcester, Massachusetts?
If you are local to Worcester, Massachusetts, Unknown Individual may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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