Unknown Individual – Hospice and Palliative Medicine (Family Medicine) Physician, NPI 1720453376

Unknown Individual is a healthcare provider. based in Omaha, Nebraska. specializing in Hospice and Palliative Medicine (Family Medicine) Physician. The NPI Number for Unknown Individual is 1720453376

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1720453376
Phone
(402) 397-0211
Address
8710 FREDERICK ST
Deactivation Date
25 January 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 8710 FREDERICK ST

    STE 100

    OMAHA, NE 681243061

    Phone: (402) 397-0211

    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 68124)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1720453376?
NPI 1720453376 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Hospice and Palliative Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Omaha?
Public fields place Unknown Individual around Omaha, Nebraska. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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