Unknown Individual – Family Medicine Physician, NPI 1891801312

Unknown Individual is a healthcare provider. based in Scottsburg, Indiana. specializing in Family Medicine Physician. They hold a License No. INDIANA 010 230 20 (IN). The NPI Number for Unknown Individual is 1891801312

Main info

Organization
Inactive
66 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1891801312
Phone
(812) 752-5659
Address
137 EAST MCCLAIN AVE
Deactivation Date
11 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1960 (66 years ago)
PAC ID
6507044856
Professional Enrollment ID
I20110712000062
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • East McClain Avenue, Scottsburg, Scott County, Indiana, 47170, United States

    SCOTTSBURG, IN 471701846

    Phone: (812) 752-5659

    Fax: (812) 752-2927

    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)

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 47170)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1891801312; it appears in the national provider directory.
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 Family Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Scottsburg, Indiana for Unknown Individual; expand the address list for detail.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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