Unknown Individual – Occupational Medicine Physician, NPI 1649210550

Occupational Medicine Physician

Unknown Individual is a healthcare provider. based in Omaha, Nebraska. specializing in Occupational Medicine Physician. They hold a License No. 17825 (NE). The NPI Number for Unknown Individual is 1649210550

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1649210550

Phone

(402) 934-4535

Address

140 S 77TH ST

Deactivation Date

5 April 2023

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience19

Completeness75

Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

140, South 77th Street, Omaha, Douglas County, Nebraska, 68114, United States
OMAHA, NE 68114
Phone: (402) 934-4535
Fax: (402) 934-5939
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 68114)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?

Administrative and clinical systems typically use NPI 1649210550 for Unknown Individual.

Does inactive mean outdated data for Unknown Individual?

Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Occupational Medicine Physician. Clinical services aligned with this taxonomy classification.

Is Unknown Individual tied to Omaha, Nebraska?

If you are local to Omaha, Nebraska, Unknown Individual may be relevant to your search.

Who maintains Unknown Individual's record?

Providers certify NPPES data; CMS hosts the public file you are viewing.