Unknown Individual – Pediatrics Physician, NPI 1609857879

Unknown Individual is a healthcare provider. based in Charlestown, Massachusetts. specializing in Pediatrics Physician. They hold a License No. 27945 (MA). The NPI Number for Unknown Individual is 1609857879

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1609857879
Phone
(617) 724-0287
Address
PO BOX 9142
Deactivation Date
2 November 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Charlestown Post Office (mobile), Pattern Close, St Austell Bay, Charlestown, Cornwall, England, PL25 3FQ, United Kingdom

    MASS GENERAL PHYSICIAN ORGANIZATION

    CHARLESTOWN, MA 021299142

    Phone: (617) 724-0287

    Fax: (617) 726-2894

    Type: Mailing

  • Massachusetts General Hospital, 55, Fruit Street, Beacon Hill, Boston, Suffolk County, Massachusetts, 02114, United States

    YAW 6B PEDIATRIC PULMONARY

    BOSTON, MA 02114

    Phone: (617) 726-8707

    Fax: (617) 726-1036

    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 02129)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1609857879 uniquely identifies Unknown Individual in U.S. healthcare data.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Charlestown, Massachusetts?
If you are local to Charlestown, Massachusetts, Unknown Individual may be relevant to your search.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.