Unknown Individual – Rheumatology Physician, NPI 1831171347

Unknown Individual is a healthcare provider. based in Elizabethtown, Kentucky. specializing in RHEUMATOLOGY. They hold a License No. 21237 (KY). The NPI Number for Unknown Individual is 1831171347

Main info

Organization
Inactive
51 Years Of Experience
Name
Unknown Individual
NPI
1831171347
Phone
(270) 769-6665
Address
1107 WOODLAND DR
Deactivation Date
5 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1975 (51 years ago)
PAC ID
8527195627
Professional Enrollment ID
I20100421000787
Address ID
KY427012789EL1107XDRXX301
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

102 RHEUMATOLOGY in KY

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Provider Addresses for Unknown Individual

  • 1107, Woodland Drive, Elizabethtown, Hardin County, Kentucky, 42701, United States

    SUITE 105

    ELIZABETHTOWN, KY 427012789

    Phone: (270) 769-6665

    Fax: (270) 769-0322

    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)

CMS reports 80 Open Payments records for all available years, with a total value of $1,381.

Total Amount is formed as General ($1,381) + Research ($0) + Ownership ($0) = $1,381.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Amgen Inc. ($517).

Total Amount

$1,381

General + Research + Ownership

Payments

80

Total payment records

General Amount

$1,381

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

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
99213Established patient office or other outpatient visit, 20-29 minutes348167$0
99214Established patient office or other outpatient visit, 30-39 minutes243118$0
36415Insertion of needle into vein for collection of blood sample213113$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg6714$0
99204New patient office or other outpatient visit, 45-59 minutes5151$0
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Insurance plans in this area (ZIP 42701)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1831171347 — the number used across U.S. healthcare to identify this provider.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Rheumatology Physician. Clinical services aligned with this taxonomy classification.
Where in Kentucky is Unknown Individual registered?
Use Elizabethtown, Kentucky as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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