Unknown Individual – Pediatrics Physician, NPI 1669478624

Unknown Individual is a healthcare provider. based in Bellingham, Washington. specializing in Pediatrics Physician. They hold a License No. MD00013420 (WA). The NPI Number for Unknown Individual is 1669478624

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1669478624
Phone
(360) 738-2200
Address
4545 CORDATA PKWY
Deactivation Date
14 December 2022
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

  • 4545, Cordata Parkway, Cordata, Bellingham, Whatcom County, Washington, 98226, United States

    BELLINGHAM, WA 982267123

    Phone: (360) 738-2200

    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.

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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 98226)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1669478624 uniquely identifies Unknown Individual in U.S. healthcare data.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Bellingham, Washington in registry-derived data.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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