Unknown Individual – Internal Medicine Physician, NPI 1245233667

Unknown Individual is a healthcare provider. based in Millport, Alabama. specializing in Internal Medicine Physician. They hold a License No. DO.1009 (AL). The NPI Number for Unknown Individual is 1245233667

Main info

Organization
Inactive
28 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1245233667
Phone
(205) 662-3207
Address
13530 HIGHWAY 96
Deactivation Date
19 December 2024

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2053481770
Graduation Year
1998 (28 years ago)
PAC ID
6103878806
Group Practice PAC ID
6103724489
Professional Enrollment ID
I20080512000441
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

  • 13530 HIGHWAY 96

    MILLPORT, AL 355762522

    Phone: (205) 662-3207

    Fax: (205) 333-4660

    Type: Location

  • Peter Bryce Boulevard, Riverview, Tuscaloosa, Tuscaloosa County, Alabama, 35487, United States

    TUSCALOOSA, AL 354017419

    Phone: (205) 348-1770

    Fax: (205) 348-1772

    Type: Mailing

  • 850 Peter Bryce Blvd

    Tuscaloosa, AL 354017419

    Phone: (205) 348-1770

    Fax: (205) 348-1772

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $903.

Total Amount is formed as General ($903) + Research ($0) + Ownership ($0) = $903.

Last reported payment date: 2024-05-06 • Largest payer in this snapshot: Lilly USA, LLC ($228).

Total Amount

$903

General + Research + Ownership

Payments

55

Total payment records

General Amount

$903

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-06

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes383203$0
96372Injection of drug or substance under skin or into muscle10755$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9448$0
82570Creatinine level to test for kidney function or muscle injury8282$0
99213Established patient office or other outpatient visit, 20-29 minutes7964$0
View full utilization report →

Insurance plans in this area (ZIP 35576)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103724489View full group profile
NameSpecialtyState
Neurology, Internal MedicineAL
Family PracticeMS
O B S T E T R I C S/ G Y N E C O L O G YNY
O B S T E T R I C S/ G Y N E C O L O G YAL
O B S T E T R I C S/ G Y N E C O L O G YNY
-AL
Family PracticeAL
Family PracticeAL
Internal MedicineTX
Endocrinology, Internal MedicineAL

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1245233667 when you need to reference Unknown Individual in forms, claims, or directories.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Internal Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Millport, Alabama for Unknown Individual; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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