Unknown Individual – Hematology & Oncology Physician, NPI 1972579613

Unknown Individual is a healthcare provider. based in Newburgh, Indiana. specializing in Hematology & Oncology Physician. They hold a License No. 02003019A (IN). The NPI Number for Unknown Individual is 1972579613

Main info

Organization
Inactive
20 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1972579613
Phone
(812) 471-1200
Address
3699 EPWORTH RD
Deactivation Date
11 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8124711200
Graduation Year
2006 (20 years ago)
PAC ID
5890798805
Group Practice PAC ID
1153493341
Professional Enrollment ID
I20060811000436

Contacts

Secure Messaging
sheryl.ziegler.1@7598.direct.athenahealth.com
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

  • 3699 EPWORTH RD

    NEWBURGH, IN 476308909

    Phone: (812) 471-1200

    Fax: (812) 475-6700

    Type: Location

  • Evansville Post office, 402, Water Street, Evansville, Rock County, Wisconsin, 53536, United States

    EVANSVILLE, IN 477303089

    Phone: (812) 985-9890

    Type: Mailing

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 47630)

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Provider's Procedures

Unknown Individual performs procedures in Hematology & Oncology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
HEMATOLOGY/ONCOLOGYIN78815Nuclear medicine study with CT imaging skull base to mid-thigh4037
HEMATOLOGY/ONCOLOGYIN96367Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour729108
HEMATOLOGY/ONCOLOGYIN96375Injection of different drug or substance into a vein for therapy, diagnosis, or prevention23346
HEMATOLOGY/ONCOLOGYIN96415Infusion of chemotherapy into a vein13530

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: 1153493341View full group profile
NameSpecialtyState
-IN
-ME
O B S T E T R I C S/ G Y N E C O L O G YME
Family PracticeME
-ME
P O D I A T R YME
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)CA
Nurse PractitionerIN
-ME
Physician AssistantTN

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1972579613 — is the standard way to identify this listing.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Newburgh, Indiana in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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