Unknown Individual – Occupational Medicine Physician, NPI 1063539666

Occupational Medicine Physician

Unknown Individual is a healthcare provider. based in Reno, Nevada. specializing in Occupational Medicine Physician. They hold a License No. 3909 (NV). The NPI Number for Unknown Individual is 1063539666

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1063539666

Phone

(775) 322-5757

Address

1530 E. 6TH STREET

Deactivation Date

12 April 2023

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

1530 E. 6TH STREET
RENO, NV 89512
Phone: (775) 322-5757
Fax: (775) 322-5776
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 89512)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?

The NPI 1063539666 uniquely identifies Unknown Individual in U.S. healthcare data.

Should I call the clinic if Unknown Individual is inactive here?

If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.

Which specialty label fits Unknown Individual?

NPPES ties Unknown Individual to Occupational Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.

Which community is linked to Unknown Individual?

Unknown Individual shows a connection to Reno, Nevada in registry-derived data.

What is the difference between NPI and a medical license?

An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.