Unknown Individual – Anesthesiology Physician, NPI 1730442773

Unknown Individual is a healthcare provider. based in Naperville, Illinois. specializing in Anesthesiology Physician. They hold a License No. 125061575 (IL). The NPI Number for Unknown Individual is 1730442773

Main info

Organization
Inactive
14 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1730442773
Phone
(630) 355-0450
Address
387 SHUMAN BLVD
Deactivation Date
8 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7083614500
Graduation Year
2012 (14 years ago)
PAC ID
4486933694
Group Practice PAC ID
2466485602
Professional Enrollment ID
I20161110001846
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 387 SHUMAN BLVD

    SUITE 240W

    NAPERVILLE, IL 605638450

    Phone: (630) 355-0450

    Type: Mailing

  • 801 S WASHINGTON ST

    NAPERVILLE, IL 605407430

    Phone: (630) 355-0450

    Type: Location

  • 500 Remington Blvd

    Bolingbrook, IL 604404906

    Phone: (630) 499-4750

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2023-01-31 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($39).

Total Amount

$39

General + Research + Ownership

Payments

1

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-31

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
00811Anesthesia for other procedure on large bowel using an endoscope2222$0
00813Anesthesia for procedure on small and large bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 60563)

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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: 2466485602View full group profile

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1730442773?
NPI 1730442773 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Naperville, Illinois as the reference point for Unknown Individual, then confirm.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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