Unknown Individual – Internal Medicine Physician, NPI 1366567372

Unknown Individual is a healthcare provider. based in Florence, Kentucky. specializing in Internal Medicine Physician. They hold a License No. 57.009302 (OH). The NPI Number for Unknown Individual is 1366567372

Main info

Organization
Inactive
22 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1366567372
Phone
(513) 886-8051
Address
6549 WATSON LANE
Deactivation Date
30 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
5136863000
Graduation Year
2004 (22 years ago)
PAC ID
6608974860
Group Practice PAC ID
1254769839
Professional Enrollment ID
I20070612000259
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

Provider Addresses for Unknown Individual

  • 6549 WATSON LANE

    FLORENCE, KY 41042

    Phone: (513) 886-8051

    Type: Mailing

  • 8041 HOSBROOK RD

    SUITE 200

    CINCINNATI, OH 452362989

    Phone: (513) 891-3664

    Fax: (513) 891-8925

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2023-10-09 • Largest payer in this snapshot: Inari Medical, Inc. ($29).

Total Amount

$29

General + Research + Ownership

Payments

1

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$29
View all Open Payments →|Open Payments Risk Radar →

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes29793$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes162160$0
99239Hospital discharge day management, more than 30 minutes7574$0
View full utilization report →

Insurance plans in this area (ZIP 41042)

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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: 1254769839View full group profile
NameSpecialtyState
-MI

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1366567372 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Florence, Kentucky?
If you are local to Florence, Kentucky, Unknown Individual may be relevant to your search.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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