Unknown Individual – Occupational Medicine Physician, NPI 1881715290

Unknown Individual is a healthcare provider. based in Bloomington, Minnesota. specializing in Occupational Medicine Physician. They hold a License No. 19396 (MN). The NPI Number for Unknown Individual is 1881715290

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1881715290
Phone
(952) 885-6051
Address
600 W 98TH ST
Deactivation Date
26 July 2024
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

  • 600 W 98TH ST

    BLOOMINGTON, MN 554204773

    Phone: (952) 885-6051

    Fax: (952) 885-6022

    Mailing address matches the actual address.

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.

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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 55420)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1881715290 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Occupational Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Minnesota is Unknown Individual registered?
Use Bloomington, Minnesota as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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