Unknown Individual – Internal Medicine Physician, NPI 1972627792

Unknown Individual is a healthcare provider. based in Wellesley hills, Massachusetts. specializing in Internal Medicine Physician. They hold a License No. 79692 (MA). The NPI Number for Unknown Individual is 1972627792

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1972627792
Phone
Not provided
Address
ONE SUN LIFE EXECUTIVE PARK SC-1294
Deactivation Date
11 August 2025
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

Provider Addresses for Unknown Individual

  • ONE SUN LIFE EXECUTIVE PARK SC-1294

    SUN LIFE FINANCIAL

    WELLESLEY HILLS, MA 02481

    Phone:

    Type: Mailing

  • ONE SUN LIFE EXECUTIVE PARK, SC-1294

    SUN LIFE FINANCIAL

    WELLESLEY HILLS, MA 02481

    Phone: (800) 432-1102

    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 02481)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1972627792.
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 is Unknown Individual's primary classification?
Internal Medicine Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Wellesley Hills, Massachusetts as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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