Unknown Individual – Otolaryngology/Facial Plastic Surgery Physician, NPI 1831278068

Unknown Individual is a healthcare provider. based in Lafayette, Indiana. specializing in Otolaryngology/Facial Plastic Surgery Physician. They hold a License No. 01028476A (IN). The NPI Number for Unknown Individual is 1831278068

Main info

Organization
Inactive
45 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1831278068
Phone
(765) 477-7436
Address
2320 CONCORD RD
Deactivation Date
27 March 2024

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7654777436
Graduation Year
1981 (45 years ago)
PAC ID
9335130103
Group Practice PAC ID
2466443395
Professional Enrollment ID
I20040607001247

Contacts

Secure Messaging
dberner@lafayetteent.emadirect.md
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

  • 2320, Concord Road, Lafayette, Tippecanoe County, Indiana, 47909, United States

    LAFAYETTE, IN 479092708

    Phone: (765) 477-7436

    Fax: (765) 477-1245

    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 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-02-20 • Largest payer in this snapshot: Acclarent, Inc ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Acclarent, Inc$24
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 47909)

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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: 2466443395View full group profile
NameSpecialtyState
-IN
O T O L A R Y N G O L O G YIN

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1831278068 is assigned to Unknown Individual under the national enumeration system.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Otolaryngology/Facial Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Lafayette, Indiana for Unknown Individual; expand the address list for detail.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1831278068. Always confirm identity and privileges with the practice and licensing boards.

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