Unknown Individual – Allergy & Immunology Physician, NPI 1740239458

Unknown Individual is a healthcare provider. based in Madison, Wisconsin. specializing in Allergy & Immunology Physician. They hold a License No. 30326-020 (WI). The NPI Number for Unknown Individual is 1740239458

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1740239458
Phone
(608) 252-8000
Address
1313 FISH HATCHERY RD
Deactivation Date
1 February 2023

Contacts

Secure Messaging
rolson262269@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • SSM Health Dean Medical Group, 1313, Fish Hatchery Road, Bay Creek, Madison, Dane County, Wisconsin, 53715, United States

    MADISON, WI 537151911

    Phone: (608) 252-8000

    Fax: (608) 252-7495

    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 53715)

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Provider's Procedures

Unknown Individual performs procedures in Allergy & Immunology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ALLERGY/IMMUNOLOGYWI95004Injection of allergenic extracts into skin, accessed through the skin99844

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1740239458; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Allergy & Immunology Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Madison, Wisconsin for Unknown Individual based on available NPPES addresses.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1740239458. Always confirm identity and privileges with the practice and licensing boards.

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