Unknown Individual – Family Medicine Physician, NPI 1730175969

Unknown Individual is a healthcare provider. based in Tuscaloosa, Alabama. specializing in Family Medicine Physician. They hold a License No. 21446 (AL). The NPI Number for Unknown Individual is 1730175969

Main info

Organization
Inactive
28 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1730175969
Phone
(205) 553-1900
Address
1718 VETERANS MEMORIAL PKWY
Deactivation Date
16 October 2024

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
2053492323
Graduation Year
1998 (28 years ago)
PAC ID
2264477355
Group Practice PAC ID
4587817911
Professional Enrollment ID
I20050623000366
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

  • Veterans Memorial Parkway, Lynwood Park, Rosewood, Tuscaloosa, Tuscaloosa County, Alabama, 35404, United States

    SUITE C

    TUSCALOOSA, AL 354044708

    Phone: (205) 553-1900

    Fax: (205) 553-4575

    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)

CMS reports 64 Open Payments records for all available years, with a total value of $5,151.

Total Amount is formed as General ($5,151) + Research ($0) + Ownership ($0) = $5,151.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Merz North America, Inc. ($4,655).

Total Amount

$5,151

General + Research + Ownership

Payments

64

Total payment records

General Amount

$5,151

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

Latest reported date

Top Companies

Largest payers in this snapshot

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
J1100Injection, dexamethasone sodium phosphate, 1 mg839194$0
J0696Injection, ceftriaxone sodium, per 250 mg823183$0
96372Injection of drug or substance under skin or into muscle572293$0
99214Established patient office or other outpatient visit, 30-39 minutes423347$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes39658$0
View full utilization report →

Insurance plans in this area (ZIP 35404)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1730175969.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Tuscaloosa, Alabama?
If you are local to Tuscaloosa, Alabama, Unknown Individual may be relevant to your search.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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