Unknown Individual – Internal Medicine Physician, NPI 1659354215

Unknown Individual is a healthcare provider. based in Richmond, Indiana. specializing in Internal Medicine Physician. They hold a License No. 01040503A (IN). The NPI Number for Unknown Individual is 1659354215

Main info

Organization
Inactive
35 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1659354215
Phone
(765) 935-8807
Address
1100 REID PARKWAY
Deactivation Date
2 October 2024

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7659354088
Graduation Year
1991 (35 years ago)
PAC ID
6406842871
Group Practice PAC ID
6406910769
Professional Enrollment ID
I20040421001461

Contacts

Secure Messaging
hmoynihan396194@ReidHealth.direct-ci.com
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

  • Reid Health, 1100, Reid Parkway, Richmond, Wayne County, Indiana, 47374, United States

    MEDICAL STAFF SERVICE

    RICHMOND, IN 473741157

    Phone: (765) 935-8807

    Type: Mailing

  • Chester Boulevard, Richmond, Wayne County, Indiana, 47374, United States

    RICHMOND, IN 473741962

    Phone: (765) 935-4088

    Fax: (765) 966-2596

    Type: Location

  • 473 E Greenville Ave

    Winchester, IN 473949436

    Phone: (765) 584-0339

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 52 Open Payments records for all available years, with a total value of $785.

Total Amount is formed as General ($785) + Research ($0) + Ownership ($0) = $785.

Last reported payment date: 2024-08-05 • Largest payer in this snapshot: ABBVIE INC. ($315).

Total Amount

$785

General + Research + Ownership

Payments

52

Total payment records

General Amount

$785

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-05

Latest reported date

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1,385565$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit739739$0
99442Telephone medical discussion with physician, 11-20 minutes159110$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month13239$0
99213Established patient office or other outpatient visit, 20-29 minutes11299$0
View full utilization report →

Insurance plans in this area (ZIP 47374)

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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: 6406910769View full group profile

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1659354215 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Richmond, Indiana may find Unknown Individual in results; validate coverage separately.
Why does Unknown Individual have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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