Unknown Individual – Addiction Medicine (Family Medicine) Physician, NPI 1942376207

Addiction Medicine (Family Medicine) Physician

Unknown Individual is a healthcare provider. based in Las vegas, Nevada. specializing in Addiction Medicine (Family Medicine) Physician. They hold a License No. 725 (NV). The NPI Number for Unknown Individual is 1942376207

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1942376207

Phone

(702) 873-7800

Address

6000 W ROCHELLE AVE STE 800

Deactivation Date

3 November 2021

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

6000 W ROCHELLE AVE STE 800
LAS VEGAS, NV 891033300
Phone: (702) 873-7800
Fax: (702) 873-0834
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)

CMS reports 1 Open Payments records for all available years, with a total value of $400.

Total Amount is formed as General ($400) + Research ($0) + Ownership ($0) = $400.

Last reported payment date: 2023-03-07 • Largest payer in this snapshot: Abbott Laboratories ($400).

Total Amount

$400

General + Research + Ownership

Payments

Total payment records

General Amount

$400

General payments

Research Amount

Research funding

Ownership Amount

Ownership interests

Ownership Count

Ownership records

Last Payment Date

2023-03-07

Latest reported date

Top Companies

Largest payers in this snapshot

Company	Amount
Abbott Laboratories	$400

View all Open Payments →|Open Payments Risk Radar →

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 89103)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?

CMS-hosted NPPES data lists Unknown Individual with NPI 1942376207.

Why is Unknown Individual marked inactive in the NPI directory?

The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.

What taxonomy line describes Unknown Individual?

For research purposes, treat Unknown Individual as Addiction Medicine (Family Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.

Where is Unknown Individual based?

Unknown Individual is tied to Las Vegas, Nevada in the data we show; additional addresses may exist on the full record.

Why does Unknown Individual have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.