Unknown Individual – Internal Medicine Physician, NPI 1922004365

Unknown Individual is a healthcare provider. based in Coos bay, Oregon. specializing in Internal Medicine Physician. They hold a License No. 2001250 (NM). The NPI Number for Unknown Individual is 1922004365

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1922004365
Phone
(541) 269-0333
Address
1750 THOMPSON RD
Deactivation Date
12 July 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Bay Clinic, 1750, Thompson Road, Coos Bay, Coos County, Oregon, 97420, United States

    COOS BAY, OR 97420

    Phone: (541) 269-0333

    Fax: (541) 267-6905

    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.

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 97420)

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Provider's Procedures

Unknown Individual performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEOR20610Aspiration and/or injection of large joint or joint capsule2720
INTERNAL MEDICINEOR83036Hemoglobin A1C level3131
INTERNAL MEDICINEOR93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report713580
INTERNAL MEDICINEOR95117Injection of incremental dosages of allergen, 2 or more injections2820

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1922004365 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Coos Bay, Oregon for Unknown Individual based on available NPPES addresses.
What if Coos Bay, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.