Unknown Individual – Family Medicine Physician, NPI 1750451811

Unknown Individual is a healthcare provider. based in Winamac, Indiana. specializing in Family Medicine Physician. They hold a License No. 02000647 (IN). The NPI Number for Unknown Individual is 1750451811

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1750451811
Phone
(574) 946-6886
Address
PO BOX 186
Deactivation Date
28 April 2021

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
5749462194
Graduation Year
1978 (48 years ago)
PAC ID
4385636729
Group Practice PAC ID
3173515509
Professional Enrollment ID
I20100818000860
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

Provider Addresses for Unknown Individual

  • PO BOX 186

    WINAMAC, IN 469960186

    Phone: (574) 946-6886

    Fax: (574) 946-7342

    Type: Mailing

  • 525 E THIRTEENTH ST

    WINAMAC, IN 469960186

    Phone: (574) 946-6886

    Fax: (574) 946-7342

    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 46996)

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 MEDICINEIN93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report2422

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: 3173515509View full group profile
NameSpecialtyState
CLINTON L. KAUFFMAN (MD)
Family Practice, Obstetrics/GynecologyIN
SANDRA L RINGER (MSW, LCSW)
Clinical Social WorkerIN
DR. THOMAS J CHOWATTUKUNNEL (MD)
O P H T H A L M O L O G YIN
LAURA JEAN WICKER (FNP)
-IN
LAURA FAYE PEACOCK (NP)
Nurse PractitionerIN
DAVID P JOHNSON (FNP-C)
Nurse PractitionerIN
DANIEL CHARLES BAXTER (D.O.)
Emergency Medicine, General SurgeryMI
DIANA BRAUN (NP)
Nurse PractitionerIN
TIMOTHY D GEARHART (LCSW)
Clinical Social WorkerIN
BETH ANN RUFF-CRAWFORD (N.P.)
-IN

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 1750451811 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 is Unknown Individual's primary classification?
Family Medicine Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Winamac, Indiana as a primary anchor for Unknown Individual unless the record lists multiple sites.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

ELIZABETH ANN CURTIS (D.O.)

Family Medicine Physician
2418 CURTIS DR
NPI: 1669475893

DR. BRIAN ALAN JOHNSON (MD)

Family Medicine Physician
613, Terrace Drive, Winamac, Pulaski County, Indiana, 46996, United States
NPI: 1023012754

DR. REX ALLEN ALLMAN (MD)

Family Medicine Physician
Hospital Drive, Winamac, Pulaski County, Indiana, 46996, United States
NPI: 1699773994

KNOX-WINAMAC COMMUNITY HEALTH CENTERS, INC.

Family Medicine Physician
121, East Pearl Street, Winamac, Pulaski County, Indiana, 46996, United States
NPI: 1528000395

Unknown Individual

Family Medicine Physician
222, South Monticello Street, Winamac, Pulaski County, Indiana, 46996, United States
NPI: 1487668554

DR. CURTIS MITCHELL BEJES (M.D.)

Family Medicine Physician
PO BOX 279
NPI: 1730272857

CURTIS FAMILY PRACTICE INC

Family Medicine Physician
2418 N. CURTIS DRIVE
NPI: 1316011976

CLINTON L. KAUFFMAN (MD)

Family Medicine Physician
540, Hospital Drive, Winamac, Pulaski County, Indiana, 46996, United States
NPI: 1013062686

BRIAN A JOHNSON MD PC

Family Medicine Physician
PO BOX 277
NPI: 1043356439