Unknown Individual – Pediatric Adolescent Medicine Physician, NPI 1245527753

Unknown Individual is a healthcare provider. based in Reno, Nevada. specializing in Pediatric Adolescent Medicine Physician. They hold a License No. 3338 (NV). The NPI Number for Unknown Individual is 1245527753

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1245527753
Phone
(775) 322-1880
Address
1001 JONES ST
Deactivation Date
27 March 2025
Data current as of
20 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

  • 1001 JONES ST

    RENO, NV 895035512

    Phone: (775) 322-1880

    Fax: (775) 322-1897

    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 89503)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1245527753 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Pediatric Adolescent Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Reno?
Public fields place Unknown Individual around Reno, Nevada. Always confirm the exact site before visiting.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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