Unknown Individual – Urology Physician, NPI 1215067053

Unknown Individual is a healthcare provider. based in Stateline, Nevada. specializing in Urology Physician. The NPI Number for Unknown Individual is 1215067053

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1215067053
Phone
(775) 883-1030
Address
155 HIGHWAY 50
Deactivation Date
27 November 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 155 HIGHWAY 50

    STATELINE, NV 89449

    Phone: (775) 883-1030

    Fax: (775) 883-4677

    Type: Location

  • 412 W JOHN ST

    #1B

    CARSON CITY, NV 897038811

    Phone: (775) 883-1030

    Fax: (775) 883-4677

    Type: Mailing

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.

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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 89449)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1215067053.
Does inactive mean outdated data for Unknown Individual?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.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Urology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Stateline, Nevada?
If you are local to Stateline, Nevada, Unknown Individual may be relevant to your search.
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.

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