Unknown Individual – Emergency Medicine Physician, NPI 1073590444

Unknown Individual is a healthcare provider. based in Wilmington, Delaware. specializing in Emergency Medicine Physician. They hold a License No. MD047821L (PA). The NPI Number for Unknown Individual is 1073590444

Main info

Organization
Inactive
36 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1073590444
Phone
(800) 456-4629
Address
PO BOX 3012
Deactivation Date
31 July 2024

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Secondary Phone
7175318955
Graduation Year
1990 (36 years ago)
PAC ID
3870651193
Group Practice PAC ID
3870405483
Professional Enrollment ID
I20081121000540
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

  • Wilmington Post Office, Chestnut Street, Wilmington, New Hanover County, North Carolina, 28405, United States

    WILMINGTON, DE 19804

    Phone: (800) 456-4629

    Fax: (302) 224-2848

    Type: Mailing

  • Abington Hospital, 1200, Old York Road, Mount Vernon Gardens, Abington, Abington Township, Montgomery County, Pennsylvania, 19001, United States

    ABINGTON, PA 19001

    Phone: (215) 481-4355

    Fax: (215) 481-4629

    Type: Location

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making226218$0
99291Critical care, first 30-74 minutes132126$0
99284Emergency department visit with moderate level of medical decision making10197$0
99283Emergency department visit with low level of medical decision making2121$0
View full utilization report →

Insurance plans in this area (ZIP 19804)

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Provider's Procedures

Unknown Individual performs procedures in Emergency Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEPA31500Emergent insertion of breathing tube into windpipe cartilage using an endoscope1313

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: 3870405483View full group profile
NameSpecialtyState
P A T H O L O G YPA
Vascular SurgeryMD
O P H T H A L M O L O G YPA
-PA
Nurse PractitionerPA
-FL
-PA
-PA
Emergency MedicinePA
Critical Care (Intensivists)PA

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1073590444.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Wilmington, Delaware in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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