Unknown Individual – Urology Physician, NPI 1841204625

Unknown Individual is a healthcare provider. based in Greenwood, Indiana. specializing in Urology Physician. They hold a License No. 01040241A (IN). The NPI Number for Unknown Individual is 1841204625

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1841204625
Phone
(317) 807-1262
Address
679 E COUNTY LINE RD
Deactivation Date
27 September 2024

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3178597222
Graduation Year
1987 (39 years ago)
PAC ID
6800848458
Group Practice PAC ID
7517870009
Professional Enrollment ID
I20050211000552

Contacts

Secure Messaging
urologyin@directaddress.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • 679, County Line Road, Phoenix, Greenwood County, South Carolina, 29819, United States

    GREENWOOD, IN 461431049

    Phone: (317) 807-1262

    Fax: (317) 859-4268

    Type: Mailing

  • Urology of Indiana, 12188A, North Meridian Street, Carmel, Hamilton County, Indiana, 46032, United States

    SUITE #200

    CARMEL, IN 460324410

    Phone: (317) 564-5100

    Fax: (317) 564-5556

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $597.

Total Amount is formed as General ($597) + Research ($0) + Ownership ($0) = $597.

Last reported payment date: 2023-11-16 • Largest payer in this snapshot: ABBVIE INC. ($92).

Total Amount

$597

General + Research + Ownership

Payments

28

Total payment records

General Amount

$597

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-16

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml2,02721$0
99213Established patient office or other outpatient visit, 20-29 minutes745534$0
81003Automated urinalysis test510390$0
99214Established patient office or other outpatient visit, 30-39 minutes270190$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month23146$0
View full utilization report →

Insurance plans in this area (ZIP 46143)

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Provider's Procedures

Unknown Individual performs procedures in Urology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYIN51798Ultrasound measurement of bladder capacity after voiding171145
UROLOGYIN55700Biopsy of prostate gland2121
UROLOGYIN76872Ultrasound of rectum2222
UROLOGYIN76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle2221

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: 7517870009View full group profile

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1841204625.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Urology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Greenwood, Indiana for Unknown Individual; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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