Unknown Individual – Nephrology Physician, NPI 1144214941

Unknown Individual is a healthcare provider. based in Indianapolis, Indiana. specializing in Nephrology Physician. They hold a License No. 01046524A (IN). The NPI Number for Unknown Individual is 1144214941

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1144214941
Phone
(317) 564-2134
Address
9011 N MERIDIAN ST
Deactivation Date
25 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3178750084
Graduation Year
1982 (44 years ago)
PAC ID
3971400672
Group Practice PAC ID
2769389550
Professional Enrollment ID
I20091120000504
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

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Provider Addresses for Unknown Individual

  • North Meridian Street, Spring Mill Woods, Indianapolis, Indiana, 46074:46260, United States

    SUITE 225

    INDIANAPOLIS, IN 462605378

    Phone: (317) 564-2134

    Fax: (317) 574-4737

    Type: Mailing

  • 2705, South Berkley Road, Westbrooke, Kokomo, Howard County, Indiana, 46902, United States

    SUITE 2A

    KOKOMO, IN 469028025

    Phone: (765) 453-1205

    Fax: (765) 453-6889

    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 46260)

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Provider's Procedures

Unknown Individual performs procedures in Nephrology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYIN90935Hemodialysis procedure with one physician evaluation32972

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: 2769389550View full group profile
NameSpecialtyState
Nephrology, Internal MedicineIN
Internal MedicineIN
Physician AssistantIN
Physician AssistantVA
Nurse PractitionerIN
Nurse PractitionerIN
Nephrology, Internal MedicineIN
Nephrology, Internal MedicineIN
N E P H R O L O G YIN
Nurse PractitionerIN

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1144214941.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Nephrology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Indianapolis, Indiana may find Unknown Individual in results; validate coverage separately.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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