Unknown Individual – Endocrinology, Diabetes & Metabolism Physician, NPI 1871516716

Unknown Individual is a healthcare provider. based in Muncie, Indiana. specializing in Endocrinology, Diabetes & Metabolism Physician. They hold a License No. 02032315 (IN). The NPI Number for Unknown Individual is 1871516716

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1871516716
Phone
Not provided
Address
1200 W WHITE RIVER BLVD
Deactivation Date
27 December 2023

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7657473376
Graduation Year
1983 (43 years ago)
PAC ID
3971631755
Group Practice PAC ID
9537072640
Professional Enrollment ID
I20100515000014

Contacts

Secure Messaging
kalexander@direct.iuhealth.org
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

Provider Addresses for Unknown Individual

  • 1200 W WHITE RIVER BLVD

    MUNCIE, IN 473034988

    Phone:

    Type: Mailing

  • 1420 S PILGRIM BLVD

    YORKTOWN, IN 473969250

    Phone: (765) 759-4068

    Type: Location

  • 1420, South Pilgrim Boulevard, Yorktown, Delaware County, Indiana, 47396, United States

    YORKTOWN, IN 473969250

    Phone: (765) 759-4068

    Fax: (765) 759-4075

    Type: Mailing

  • 800, South Tillotson Avenue, Muncie, Delaware County, Indiana, 47304, United States

    MUNCIE, IN 473044529

    Phone: (765) 289-5410

    Fax: (765) 281-2085

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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 47303)

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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: 9537072640View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nephrology, Internal MedicineIN
General SurgeryMI
-OH
Family PracticeIN
H E M A T O L O G Y/ O N C O L O G YNC
Infectious Disease, Internal MedicineNJ
Cardiovascular Disease (Cardiology), Internal MedicineIN
Clinical Social WorkerIN
-IN

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1871516716 uniquely identifies Unknown Individual in U.S. healthcare data.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Muncie, Indiana in the same public data insurers reference.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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