Unknown Individual – Family Medicine Physician, NPI 1427033521

Unknown Individual is a healthcare provider. based in Effingham, Illinois. specializing in Family Medicine Physician. They hold a License No. 036073852 (IL). The NPI Number for Unknown Individual is 1427033521

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1427033521
Phone
(217) 342-7000
Address
PO BOX 665
Deactivation Date
14 October 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
2173427000
Graduation Year
1985 (41 years ago)
PAC ID
1951395573
Group Practice PAC ID
5890789416
Professional Enrollment ID
I20100730000018

Contacts

Secure Messaging
michael.brummer@familycare.eclinicaldirectplus.com
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

  • PO BOX 665

    EFFINGHAM, IL 624010665

    Phone: (217) 342-7000

    Type: Mailing

  • 1106, North Merchant Street, Effingham, Effingham County, Illinois, 62401, United States

    EFFINGHAM, IL 624012128

    Phone: (217) 342-7000

    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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62401)

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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: 5890789416View full group profile
NameSpecialtyState
Mental Health CounselorIL
-IL
Family PracticeIL
Nurse PractitionerIL
Nurse PractitionerIL
Internal Medicine, Pediatric MedicineIL
Family PracticeMO
Mental Health CounselorIL
Family PracticeIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1427033521 uniquely identifies Unknown Individual in U.S. healthcare data.
What does inactive NPI status mean 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 Effingham, Illinois?
If you are local to Effingham, Illinois, Unknown Individual may be relevant to your search.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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