Unknown Individual – Gastroenterology Physician, NPI 1689652687

Unknown Individual is a healthcare provider. based in Charlestown, Massachusetts. specializing in Gastroenterology Physician. They hold a License No. 29377 (MA). The NPI Number for Unknown Individual is 1689652687

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1689652687
Phone
(617) 724-0287
Address
PO BOX 9142
Deactivation Date
15 May 2024
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

  • 300, Mount Auburn Street, Old Cambridge, Cambridge, Middlesex County, Massachusetts, 02138, United States

    SUITE 404 MT AUBURN HOSPITAL

    CAMBRIDGE, MA 02238

    Phone: (617) 876-4733

    Fax: (617) 876-5017

    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 02129)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1689652687 uniquely identifies Unknown Individual in U.S. healthcare data.
What should I verify if Unknown Individual is listed inactive?
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 Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Charlestown, Massachusetts in registry-derived data.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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