Unknown Individual – Orthopaedic Surgery Physician, NPI 1477529428

Orthopaedic Surgery Physician

Unknown Individual is a healthcare provider. based in Minneapolis, Minnesota. specializing in Orthopaedic Surgery Physician. They hold a License No. 40011 (MN). The NPI Number for Unknown Individual is 1477529428

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1477529428

Phone

Not provided

Address

8170 33RD AVE S

Deactivation Date

16 October 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

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Provider Addresses for Unknown Individual

33rd Avenue South, Wenonah, Minneapolis, Hennepin County, Minnesota, 55417, United States
MAIL STOP 21110Q
MINNEAPOLIS, MN 554401309
Phone:
Type: Mailing
3931, Louisiana Avenue South, Brooklawns, Saint Louis Park, Hennepin County, Minnesota, 55426, United States
ST LOUIS PARK, MN 554265000
Phone: (952) 993-3123
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.

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 55440)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?

You can start verification with NPI 1477529428 for Unknown Individual, then check state licensing separately.

What dates should I check for Unknown Individual's activity?

We display what the registry publishes: Unknown Individual appears inactive there.

What taxonomy line describes Unknown Individual?

For research purposes, treat Unknown Individual as Orthopaedic Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.

What address line appears for Unknown Individual?

Unknown Individual's geographic hint is Minneapolis, Minnesota in our summary view.

Why does Unknown Individual have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.