Unknown Individual – Hematology & Oncology Physician, NPI 1578670394

Unknown Individual is a healthcare provider. based in Terre haute, Indiana. specializing in Hematology & Oncology Physician. They hold a License No. 36068281 (IL). The NPI Number for Unknown Individual is 1578670394

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1578670394
Phone
(812) 242-3610
Address
221 S 6TH ST
Deactivation Date
10 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8122423610
Graduation Year
1974 (52 years ago)
PAC ID
0547299240
Group Practice PAC ID
3375687437
Professional Enrollment ID
I20050811000820
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

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

    TERRE HAUTE, IN 478074214

    Phone: (812) 242-3610

    Fax: (812) 242-3630

    Type: Mailing

  • South 6 1/2 Street, Terre Haute, Vigo County, Indiana, 47802, United States

    STE 200

    TERRE HAUTE, IN 478042766

    Phone: (812) 242-3610

    Fax: (812) 242-3630

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2024-01-02 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($45).

Total Amount

$45

General + Research + Ownership

Payments

3

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-02

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.

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

Insurance plans in this area (ZIP 47807)

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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: 3375687437View full group profile
NameSpecialtyState
U R O L O G YIL
-IN
-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

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1578670394 — is the standard way to identify this listing.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Hematology & Oncology 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.