Unknown Individual – Neurology Physician, NPI 1871597534

Neurology Physician

Unknown Individual is a healthcare provider. based in Indianapolis, Indiana. specializing in Neurology Physician. They hold a License No. 01024904 (IN). The NPI Number for Unknown Individual is 1871597534

Main info

Organization

Inactive

53 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1871597534

Phone

(317) 849-8350

Address

6983 HILLSDALE CT

Deactivation Date

1 March 2023

Doctor Profile

Medical School Name

INDIANA UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

3177155600

Graduation Year

1973 (53 years ago)

PAC ID

6608832548

Group Practice PAC ID

6709868870

Professional Enrollment ID

I20041202000861

Contacts

Secure Messaging

referrals@jwmn.gwaydirect.com

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience18

Completeness85

Years active:0State licenses:2Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

6983, Hillsdale Court, Indianapolis, Indiana, 46250, United States
INDIANAPOLIS, IN 462502054
Phone: (317) 849-8350
Fax: (317) 576-6311
Type: Mailing
220, North Ritter Avenue, Irvington, Indianapolis, Marion, Indiana, 46219, United States
INDIANAPOLIS, IN 462193046
Phone: (317) 715-5600
Fax: (317) 715-5618
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 46250)

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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: 6709868870View full group profile

Name	Specialty	State
KEITH W CUSHING (MD)	N E U R O L O G Y	IN
KEITH R RIDEL (MD)	Neurology, Pediatric Medicine	IN
CYNTHIA K MCGARVEY (MD)	N E U R O L O G Y	IN
GANESH T GHOORAY (MD, PHD)	N E U R O L O G Y	IN
NARAHARISETTY ARUNA RAU (MD)	N E U R O L O G Y	IN
JAMES RYAN EASTER (MD)	N E U R O L O G Y	IL
RAYMOND J LOFFER (MD)	Neurology, Sleep Medicine	IN
HELEN K SOLIMAN (PA-C MPAS)	Physician Assistant	IN
DAVID BRYAN NOLTE (AGNP-C)	Nurse Practitioner	IN
LEO T D'AMBROSIO (MD)	N E U R O L O G Y	IN