Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1902824055

Unknown Individual is a healthcare provider. based in Foxboro, Massachusetts. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. 44986 (MA). The NPI Number for Unknown Individual is 1902824055

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1902824055
Phone
(508) 698-2746
Address
11 BALCOM DR
Deactivation Date
29 April 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

Loading map...

Provider Addresses for Unknown Individual

  • 11 BALCOM DR

    FOXBORO, MA 020352237

    Phone: (508) 698-2746

    Type: Mailing

  • Providence VA Medical Center,, 830, Chalkstone Avenue, Manton, Providence, Providence County, Rhode Island, 02908, United States

    PROVIDENCE, RI 029084734

    Phone: (401) 457-3013

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 02035)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1902824055.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Anatomic Pathology & Clinical Pathology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Foxboro, Massachusetts; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

Similar Providers

DR. BARRY MATHEW BERGER (M.D.)

Cytopathology Physician
Cedar Road, Chestnut Road, St. Ives, St Ives, Huntingdonshire, Cambridgeshire, East of England, England, PE27 6UF, United Kingdom
NPI: 1184627028
640 Memorial Drive, 640, Memorial Drive, Cambridgeport, Cambridge, Middlesex County, Massachusetts, 02139, United States
NPI: 1417954595

UROLOGY INC

Urology Physician
340, Main Street, Leominster, Worcester County, Massachusetts, 01453, United States
NPI: 1043218035

BHASKAR KALLAKURY

Anatomic Pathology Physician
PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States
NPI: 1245239771

DR. SUSHMA BOPPANA (M.D.)

Anatomic Pathology & Clinical Pathology Physician
13, Griggs Terrace, Brookline Village Commercial District, Brookline, Norfolk County, Massachusetts, 02446, United States
NPI: 1992797690

CHERYL A ENNIS (M.D.)

Anatomic Pathology & Clinical Pathology Physician
110A, Concord Street, Ward 3, Nashua, Hillsborough County, New Hampshire, 03060, United States
NPI: 1265425185