Unknown Individual – Foot & Ankle Surgery Podiatrist, NPI 1558520007

Unknown Individual is a healthcare provider. based in Wilmington, Delaware. specializing in Foot & Ankle Surgery Podiatrist. They hold a License No. 25MD00303500 (NJ). The NPI Number for Unknown Individual is 1558520007

Main info

Organization
Inactive
21 Years Of Experience
Name
Unknown Individual
NPI
1558520007
Phone
(302) 898-3873
Address
306 ODESSA AVE
Deactivation Date
22 May 2024

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
1052486099
Professional Enrollment ID
I20080826000512
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 306 ODESSA AVE

    WILMINGTON, DE 198091439

    Phone: (302) 898-3873

    Type: Mailing

  • 2106 SILVERSIDE RD

    SUITE 102

    WILMINGTON, DE 198104162

    Phone: (302) 478-8099

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $441.

Total Amount is formed as General ($441) + Research ($0) + Ownership ($0) = $441.

Last reported payment date: 2024-02-21 • Largest payer in this snapshot: Organogenesis Inc. ($106).

Total Amount

$441

General + Research + Ownership

Payments

24

Total payment records

General Amount

$441

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-21

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
11721Removal of fingernails or toenails, 6 or more nails619216$0
99212Established patient office or other outpatient visit, 10-19 minutes587252$0
99213Established patient office or other outpatient visit, 20-29 minutes16296$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes14481$0
11056Removal of noncancer thickened skin growth, 2-4 growths5222$0
View full utilization report →

Insurance plans in this area (ZIP 19809)

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Provider's Procedures

Unknown Individual performs procedures in Foot & Ankle Surgery Podiatrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYDE11056Removal of 2 to 4 thickened skin growths4823

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1558520007.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Where in Delaware is Unknown Individual registered?
Use Wilmington, Delaware as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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