Unknown Individual – Neurological Surgery Physician, NPI 1619977303

Unknown Individual is a healthcare provider. based in Hyannis, Massachusetts. specializing in Neurological Surgery Physician. They hold a License No. 33977 (MA). The NPI Number for Unknown Individual is 1619977303

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1619977303
Phone
(508) 771-0006
Address
130 NORTH ST
Deactivation Date
24 August 2021
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

  • 130, North Street, Hyannis, Barnstable, Barnstable County, Massachusetts, 02601-5542, United States

    HYANNIS, MA 026013825

    Phone: (508) 771-0006

    Fax: (508) 790-8337

    Mailing address matches the actual address.

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 02601)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1619977303 on file in the registry.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Hyannis?
Unknown Individual currently maps to Hyannis, Massachusetts in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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