Unknown Individual – Allergy & Immunology (Internal Medicine) Physician, NPI 1205844511

Unknown Individual is a healthcare provider. based in Lexington, Kentucky. specializing in Allergy & Immunology (Internal Medicine) Physician. They hold a License No. 27214 (KY). The NPI Number for Unknown Individual is 1205844511

Main info

Organization
Inactive
61 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1205844511
Phone
(859) 277-1137
Address
2387 PROFESSIONAL HEIGHTS DR
Deactivation Date
12 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Secondary Phone
8592771137
Graduation Year
1965 (61 years ago)
PAC ID
5294712808
Group Practice PAC ID
8325025927
Professional Enrollment ID
I20080502000356
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 2387, Professional Heights Drive, Brookhaven, Lexington, Fayette County, Kentucky, 40503, United States

    SUITE 60

    LEXINGTON, KY 405033004

    Phone: (859) 277-1137

    Fax: (859) 278-0111

    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 40503)

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Provider's Procedures

Unknown Individual performs procedures in Allergy & Immunology (Internal Medicine) Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ALLERGY/IMMUNOLOGYKY94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration12481

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: 8325025927View full group profile
NameSpecialtyState
-KY

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1205844511.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Allergy & Immunology (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Lexington, Kentucky as a primary anchor for Unknown Individual unless the record lists multiple sites.
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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