Unknown Individual – Pediatrics Physician, NPI 1962447664

Unknown Individual is a healthcare provider. based in Southbridge, Massachusetts. specializing in Pediatrics Physician. They hold a License No. MA32579 (MA). The NPI Number for Unknown Individual is 1962447664

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1962447664
Phone
(508) 764-3194
Address
100 SOUTH ST
Deactivation Date
28 January 2022
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

  • Harrington Hospital, 100, South Street, Globe Village, Southbridge, Worcester County, Massachusetts, 01550, United States

    SUITE 102

    SOUTHBRIDGE, MA 015504051

    Phone: (508) 764-3194

    Fax: (508) 765-5458

    Mailing address matches the actual address.

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 01550)

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

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1962447664.
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 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 Southbridge, Massachusetts?
If you are local to Southbridge, 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.

Similar Providers

40, Ocean View Place, Rakaia Huts, Selwyn District, Canterbury, New Zealand
NPI: 1023007184

DR. ANU RADHA PATHAK (MD)

Pediatrics Physician
85, South Street, High School Street Historic District, Globe Village, Southbridge, Worcester County, Massachusetts, 01550, United States
NPI: 1376526350
Harrington Hospital, 100, South Street, Globe Village, Southbridge, Worcester County, Massachusetts, 01550, United States
NPI: 1891739900

DIANA RABKINA (MD)

Pediatrics Physician
40, Ocean View Place, Rakaia Huts, Selwyn District, Canterbury, New Zealand
NPI: 1548285364
Harrington Hospital, 100, South Street, Globe Village, Southbridge, Worcester County, Massachusetts, 01550, United States
NPI: 1366458457

YELENA SAMOFALOV (M.D.)

Pediatrics Physician
100 SOUTH ST STE 102
NPI: 1780798686
85, South Street, High School Street Historic District, Globe Village, Southbridge, Worcester County, Massachusetts, 01550, United States
NPI: 1659418986

DONALD J GENTILE MD PC

Pediatrics Physician
100 SOUTH ST STE 208
NPI: 1174738942

DR. JOHN J DIGGINS (MD)

Psychiatry Physician
PO BOX 415348
NPI: 1952519415