Unknown Individual – Family Medicine Physician, NPI 1225029481

Unknown Individual is a healthcare provider. based in Indianapolis, Indiana. specializing in Family Medicine Physician. They hold a License No. 01036851 (IN). The NPI Number for Unknown Individual is 1225029481

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1225029481
Phone
(812) 238-7783
Address
PO BOX 2505
Deactivation Date
3 March 2022

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7658281003
Graduation Year
1987 (39 years ago)
PAC ID
3173616638
Group Practice PAC ID
7618067265
Professional Enrollment ID
I20071012000408
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

  • Andrew Jacobs Jr. Post Office, 125, West South Street, Old Southside, Indianapolis, Marion County, Indiana, 46206, United States

    INDIANAPOLIS, IN 462062505

    Phone: (812) 238-7783

    Fax: (812) 238-4506

    Type: Mailing

  • 1513, North 6th 1/2 Street, Terre Haute, Vigo County, Indiana, 47807, United States

    TERRE HAUTE, IN 478071039

    Phone: (812) 238-7631

    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 46206)

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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: 7618067265View full group profile
NameSpecialtyState
-IN
Clinical Social WorkerIN
Nurse PractitionerIN
Family PracticeIN
-IN
Clinical Social WorkerIN
Clinical Social WorkerIN
Clinical PsychologistIN
Nurse PractitionerIN
Family PracticeIN

Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1225029481 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Indiana is Unknown Individual registered?
Use Indianapolis, Indiana as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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