Unknown Individual – Family Medicine Physician, NPI 1609875145

Unknown Individual is a healthcare provider. based in Galesburg, Illinois. specializing in Family Medicine Physician. They hold a License No. 036059307 (IL). The NPI Number for Unknown Individual is 1609875145

Main info

Organization
Inactive
59 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1609875145
Phone
(309) 343-3162
Address
695 N KELLOGG ST
Deactivation Date
16 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3093454586
Graduation Year
1967 (59 years ago)
PAC ID
0547238248
Group Practice PAC ID
6305813411
Professional Enrollment ID
I20040921000407
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

Loading map...

Provider Addresses for Unknown Individual

  • Galesburg Cottage Hospital, 695, North Kellogg Street, Galesburg, Knox County, Illinois, 61401, United States

    GALESBURG, IL 614012807

    Phone: (309) 343-3162

    Type: Mailing

  • 695 N Kellogg St

    Galesburg, IL 614012807

    Phone: (309) 343-3162

    Type: Location

  • 2045 CORNELIA RD

    GALESBURG, IL 614011427

    Phone: (309) 335-0636

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes4424$0
View full utilization report →

Insurance plans in this area (ZIP 61401)

Loading plans...

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: 6305813411View full group profile
NameSpecialtyState
ROBERT CURRIE (M.D.)
-IL
CARL E STRAUCH (M.D.)
-IL
GREGORY A SCHIERER (MD)
-IL
KRISHNAMURTHY GURURAJAN (MD)
-IL
JAMES J FOSKETT (MD)
-WI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1609875145.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Galesburg, Illinois; more addresses can appear in NPPES.
Why does Unknown Individual have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

KEITH PEACHEY (M.D.)

Family Medicine Physician
834, North Seminary Street, Galesburg, Knox County, Illinois, 61401, United States
NPI: 1184623746

ROBERT CURRIE (M.D.)

Family Medicine Physician
834, North Seminary Street, Galesburg, Knox County, Illinois, 61401, United States
NPI: 1043219579

ROBERT WAGNER (M.D.)

Family Medicine Physician
1361 W FREMONT ST
NPI: 1588663017

BONNIE WILLIAMS (M.D.)

3413 CHERRY ST
NPI: 1497754436

DR. JULIO A SANTIAGO (MD)

Family Medicine Physician
Genesis Health Group, Aledo, 1007, Northwest 3rd Street, Aledo, Mercer County, Illinois, 61231, United States
NPI: 1144216185

WILLIAM J DUENSING (DO)

Family Medicine Physician
834, North Seminary Street, Galesburg, Knox County, Illinois, 61401, United States
NPI: 1982673190

KNOX CLINIC CORP

Family Medicine Physician
Belfast Post Office, 53, Sherman Street, Town of Belfast, Allegany County, New York, 14711, United States
NPI: 1265481006

DR. SAROJINI KAMARAJU RATNAKAR (MD)

Adult Medicine Physician
3333 N Seminary St
NPI: 1679524672