Unknown Individual – Occupational Medicine Physician, NPI 1235124140

Unknown Individual is a healthcare provider. based in Renton, Washington. specializing in Occupational Medicine Physician. They hold a License No. 170192-1205 (UT). The NPI Number for Unknown Individual is 1235124140

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1235124140
Phone
(425) 227-2300
Address
1601 LIND AVE SW
Deactivation Date
9 April 2026
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

  • 1601, Lind Avenue Southwest, Renton, King County, Washington, 98057, United States

    AEROSPACE MEDICINE, ANM-300

    RENTON, WA 980554056

    Phone: (425) 227-2300

    Fax: (425) 227-1300

    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 98055)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1235124140 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
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 Occupational Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Renton, Washington 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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