Unknown Individual – Surgery Physician, NPI 1003804063

Unknown Individual is a healthcare provider. based in Reno, Nevada. specializing in Surgery Physician. They hold a License No. 5729 (NV). The NPI Number for Unknown Individual is 1003804063

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1003804063
Phone
(775) 789-7000
Address
1500 E 2ND ST
Deactivation Date
23 April 2026
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

  • 1500, East 2nd Street, Reno, Washoe County, Nevada, 89502, United States

    SUITE 206

    RENO, NV 895021181

    Phone: (775) 789-7000

    Fax: (775) 789-7040

    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.

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 89502)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1003804063 when you need to reference Unknown Individual in forms, claims, or directories.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Surgery Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Reno, Nevada for Unknown Individual; download NPPES for the complete set.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1003804063. Always confirm identity and privileges with the practice and licensing boards.

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