Unknown Individual – Family Medicine Physician, NPI 1164410296

Unknown Individual is a healthcare provider. based in Newport, Oregon. specializing in Family Medicine Physician. They hold a License No. MD10192 (OR). The NPI Number for Unknown Individual is 1164410296

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1164410296
Phone
(541) 265-6137
Address
216 NE 5TH ST
Deactivation Date
29 March 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

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Provider Addresses for Unknown Individual

  • 216, Northeast 5th Street, Nye Beach, Newport, Lincoln County, Oregon, 97365, United States

    NEWPORT, OR 973653011

    Phone: (541) 265-6137

    Type: Mailing

  • 1010, Southwest Bay Street, Nye Beach, Newport, Lincoln County, Oregon, 97365, United States

    NEWPORT, OR 973654868

    Phone: (541) 265-6681

    Fax: (541) 265-9156

    Type: Location

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 97365)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1164410296 uniquely identifies Unknown Individual in U.S. healthcare data.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Family Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Newport, Oregon?
If you are local to Newport, Oregon, Unknown Individual may be relevant to your search.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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