Unknown Individual – Developmental - Behavioral Pediatrics Physician, NPI 1497739304

Unknown Individual is a healthcare provider. based in Pawtucket, Rhode Island. specializing in Developmental - Behavioral Pediatrics Physician. They hold a License No. MD05267 (RI). The NPI Number for Unknown Individual is 1497739304

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1497739304
Phone
(401) 729-6200
Address
111 BREWSTER ST
Deactivation Date
6 December 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Memorial Hospital of Rhode Island, 111, Brewster Street, Pawtucket, Providence County, Rhode Island, 02860, United States

    DEPARTMET OF PEDIATRICS

    PAWTUCKET, RI 028604400

    Phone: (401) 729-6200

    Fax: (401) 729-6203

    Type: Mailing

  • 555, Prospect Street, Pawtucket, Providence County, Rhode Island, 02860, United States

    DEPARTMENT OF NEURODEVELOPMENTAL

    PAWTUCKET, RI 028606200

    Phone: (401) 729-6200

    Fax: (401) 729-6203

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02860)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1497739304 uniquely identifies Unknown Individual in U.S. healthcare data.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Developmental - Behavioral Pediatrics Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Pawtucket, Rhode Island?
If you are local to Pawtucket, Rhode Island, 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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CAROL L BAUM-GUPTA

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