Unknown Individual – Orthopaedic Surgery Physician, NPI 1154489698

Unknown Individual is a healthcare provider. based in Provo, Utah. specializing in Orthopaedic Surgery Physician. They hold a License No. 911852771205 (UT). The NPI Number for Unknown Individual is 1154489698

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1154489698
Phone
(801) 354-8225
Address
1055 N 500 W
Deactivation Date
2 January 2025
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

  • Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States of America

    PROVO, UT 846043305

    Phone: (801) 354-8225

    Fax: (801) 429-8150

    Type: Mailing

  • North Hospital Drive, Price, Carbon County, Utah, 84501, United States

    PRICE, UT 84501

    Phone: (435) 637-0474

    Fax: (435) 632-5052

    Type: Location

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 $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-09-17 • Largest payer in this snapshot: ABBVIE INC. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$21
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 84604)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1154489698.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Provo, Utah because that is what the record indicates for Unknown Individual.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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