Unknown Individual – Physical Medicine & Rehabilitation Physician, NPI 1033132949

Physical Medicine & Rehabilitation Physician

Unknown Individual is a healthcare provider. based in Greenwood, Indiana. specializing in Physical Medicine & Rehabilitation Physician. They hold a License No. 01025797A (IN). The NPI Number for Unknown Individual is 1033132949

Main info

Organization

Inactive

59 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1033132949

Phone

(317) 528-4800

Address

1040 SIERRA DR STE 400

Deactivation Date

7 February 2024

Doctor Profile

Medical School Name

UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)

Secondary Phone

7654236011

Graduation Year

1967 (59 years ago)

PAC ID

8325170327

Group Practice PAC ID

3072790682

Professional Enrollment ID

I20100709000098

Contacts

Secure Messaging

dpotts106869@Direct.FranciscanAlliance.org

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience19

Completeness85

Years active:0State licenses:1Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

Sierra Drive, Greenwood, Johnson County, Indiana, 46142:46227, United States
GREENWOOD, IN 461437241
Phone: (317) 528-4800
Fax: (317) 865-1479
Type: Mailing
Franciscan Health Lafayette East, 1701, South Creasy Lane, Lafayette, Tippecanoe County, Indiana, 47905, United States
LAFAYETTE, IN 479054972
Phone: (765) 423-6690
Fax: (765) 423-7449
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 46143)

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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: 3072790682View full group profile

Name	Specialty	State
RHEA MAE MARTIN (WHNP)	-	IN
DR. BERNARD M HERBST (MD)	-	IN
MR. RANDALL ALAN PICKERING (LCSW)	-	IN
MRS. ALLISON HEATHER STETLER (R.D. C.D.E.)	-	MI
CAROL LYNN PARKS	-	IN
RACHAEL TRIMBUR (LCSW)	-	IN
DR. ELISE ROSE LAROCHE (M.D.)	Family Practice	IN
LAURA WALRADTH	-	MI
DIANNA L BOYER (M.D.)	Internal Medicine	IN
DR. JOHN F. PLASCAK (MD)	Internal Medicine, Emergency Medicine	MI

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?

NPI 1033132949 is assigned to Unknown Individual under the national enumeration system.

Is Unknown Individual's inactive status permanent?

An inactive NPI does not by itself prove someone stopped practicing — check other sources.

What field does Unknown Individual work in?

You can think of Unknown Individual as practicing within Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.

What location shows for Unknown Individual?

We surface Greenwood, Indiana for Unknown Individual based on available NPPES addresses.

Does Medicare enrollment show here?

Medicare enrollment screens are separate from the basic NPI extract shown here.