Unknown Individual – Pediatric Pulmonology Physician, NPI 1093785420

Pediatric Pulmonology Physician

Unknown Individual is a healthcare provider. based in Tacoma, Washington. specializing in Pediatric Pulmonology Physician. They hold a License No. 22895 (CO). The NPI Number for Unknown Individual is 1093785420

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1093785420

Phone

(253) 968-1980

Address

MADIGAN ARMY MEDICAL CENTER

Deactivation Date

30 October 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

Loading map...

Provider Addresses for Unknown Individual

Madigan Army Medical Center, 9040, Jackson Avenue, Tacoma, Pierce County, Washington, 98431, United States
DEPARTMENT OF PEDIATRICS
TACOMA, WA 984310001
Phone: (253) 968-1980
Fax: (253) 968-0384
Type: Location
8209, 22nd Street Court West, Prestige Apartments, University Place, Pierce County, Washington, 98466, United States
UNIVERSITY PLACE, WA 984662936
Phone:
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 98431)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify Unknown Individual for billing?

Administrative and clinical systems typically use NPI 1093785420 for Unknown Individual.

What happens when Unknown Individual's NPI is not active?

Public data lists Unknown Individual outside the active bucket for this identifier.

Which specialty label fits Unknown Individual?

NPPES ties Unknown Individual to Pediatric Pulmonology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.

What geographic area is tied to Unknown Individual?

Unknown Individual is associated with Tacoma, Washington in the same public data insurers reference.

Who maintains Unknown Individual's record?

Providers certify NPPES data; CMS hosts the public file you are viewing.