Unknown Individual – Hematology (Internal Medicine) Physician, NPI 1790780625
Hematology (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
IU Health Bloomington Hospital, 601, West 2nd Street, Bloomington, Monroe County, Indiana, 47402, United States
BLOOMINGTON, IN 474032317
Phone: (812) 331-3405
Fax: (812) 355-6538
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $264.
Total Amount is formed as General ($264) + Research ($0) + Ownership ($0) = $264.
Last reported payment date: 2024-07-08 • Largest payer in this snapshot: Daiichi Sankyo Inc. ($109).
Total Amount
$264
General + Research + Ownership
Payments
4
Total payment records
General Amount
$264
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-08
Latest reported date
Top Companies
Largest payers in this snapshot
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.
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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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 244 | 166 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 108 | 80 | $0 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 89 | 36 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 28 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 25 | $0 |
Insurance plans in this area (ZIP 47403)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| HEMATOLOGY/ONCOLOGY | IN | 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 164 | 54 |
| HEMATOLOGY/ONCOLOGY | IN | 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 875 | 119 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| Internal Medicine | PA | |
| Nurse Practitioner | IN | |
| P S Y C H I A T R Y | OH | |
| P O D I A T R Y | IN | |
| Vascular Surgery, General Surgery | MN | |
| Pediatric Medicine, Psychiatry | IN | |
| Internal Medicine | IN | |
| Certified Nurse Midwife (Cnm) | IN |
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