Unknown Individual – Family Medicine Physician, NPI 1033227848

Unknown Individual is a healthcare provider. based in Terre haute, Indiana. specializing in Family Medicine Physician. They hold a License No. 01021538A (IN). The NPI Number for Unknown Individual is 1033227848

Main info

Organization
Inactive
59 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1033227848
Phone
(812) 242-3600
Address
221 S 6TH ST
Deactivation Date
31 January 2024

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8122423600
Graduation Year
1967 (59 years ago)
PAC ID
2961495809
Group Practice PAC ID
3375687437
Professional Enrollment ID
I20040406000961
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

  • 221, South 6th Street, Terre Haute, Vigo County, Indiana, 47807, United States

    TERRE HAUTE, IN 478074214

    Phone: (812) 242-3600

    Fax: (812) 242-3620

    Type: Mailing

  • 1739, North 4th Street, Terre Haute, Vigo County, Indiana, 47804, United States

    TERRE HAUTE, IN 478044002

    Phone: (812) 242-3600

    Fax: (812) 242-3620

    Type: Location

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.

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

Insurance plans in this area (ZIP 47807)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEIN83036Hemoglobin A1C level16875
FAMILY MEDICINEIN85610Blood test, clotting time10913

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: 3375687437View full group profile
NameSpecialtyState
U R O L O G YIL
-IN
O B S T E T R I C S/ G Y N E C O L O G YIN
Hand SurgeryIN
Nurse PractitionerIN
Family PracticeIN
Orthopedic Surgery, Sports MedicineIN
D E R M A T O L O G YOH
-IN
O B S T E T R I C S/ G Y N E C O L O G YPA

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

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1033227848 for Unknown Individual, then check state licensing separately.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Terre Haute, Indiana in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

DR. GRACE LEE WALKER (M.D.)

Family Medicine Physician
476, Buckeye Street, Terre Haute, Vigo County, Indiana, 47804, United States
NPI: 1134123607

PAULA J MARKET (MD)

Family Medicine Physician
South 7th Street, Terre Haute, Vigo County, Indiana, 47802, United States
NPI: 1730178906

MR. HOWARD C RAY (MD)

Family Medicine Physician
3387 S US HIGHWAY 41
NPI: 1306836218

AMBUCARE CLINIC

Family Medicine Physician
3387 S US HIGHWAY 41
NPI: 1013907922

DAVID ALLEN BREITWEISER (M.D.)

Family Medicine Physician
LabCorp, 2723, South 7th Street, Terre Haute, Vigo County, Indiana, 47802, United States
NPI: 1194715854

JANIS C INGEBRIGTSEN (MD)

Family Medicine Physician
Andrew Jacobs Jr. Post Office, 125, West South Street, Old Southside, Indianapolis, Marion County, Indiana, 46206, United States
NPI: 1609867357

BING WANG GALE (MD)

Family Medicine Physician
4757, South 7th Street, Terre Haute, Vigo County, Indiana, 47802, United States
NPI: 1396736039

DANIEL P KELLAR (MD)

Family Medicine Physician
Andrew Jacobs Jr. Post Office, 125, West South Street, Old Southside, Indianapolis, Marion County, Indiana, 46206, United States
NPI: 1467443119

Union Hospital Family Medicine Center

Family Medicine Physician
Andrew Jacobs Jr. Post Office, 125, West South Street, Old Southside, Indianapolis, Marion County, Indiana, 46206, United States
NPI: 1508857145