Unknown Individual – Family Medicine Physician, NPI 1861497919

Unknown Individual is a healthcare provider. based in Kent, Washington. specializing in Family Medicine Physician. They hold a License No. OP0000866 (WA). The NPI Number for Unknown Individual is 1861497919

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1861497919
Phone
(253) 850-8750
Address
27115A MILITARY RD S
Deactivation Date
7 February 2024
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

Provider Addresses for Unknown Individual

  • 27115A MILITARY RD S

    KENT, WA 980327009

    Phone: (253) 850-8750

    Fax: (253) 850-8464

    Type: Location

  • Military Rd S, Midway, Kent, King County, Washington, 98089, United States

    KENT, WA 980327009

    Phone: (253) 850-8750

    Fax: (253) 850-8464

    Type: Mailing

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 98032)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1861497919 if you need a stable reference for Unknown Individual.
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 Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Washington?
You will see Kent, Washington on file for Unknown Individual alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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