Unknown Individual – Ophthalmology Physician, NPI 1952307373

Unknown Individual is a healthcare provider. based in Baltimore, Maryland. specializing in Ophthalmology Physician. They hold a License No. D0013496 (MD). The NPI Number for Unknown Individual is 1952307373

Main info

Organization
Inactive
62 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1952307373
Phone
(410) 644-9515
Address
1001 PINE HEIGHTS AVE
Deactivation Date
15 February 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
4109648285
Graduation Year
1964 (62 years ago)
PAC ID
0244256402
Group Practice PAC ID
9436175684
Professional Enrollment ID
I20110331000338
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

  • 1001, Pine Heights Avenue, Violetville, Baltimore, Maryland, 21229, United States

    STE 101

    BALTIMORE, MD 212295266

    Phone: (410) 644-9515

    Fax: (410) 644-8250

    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 21229)

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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: 9436175684View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMD
-MD
O P H T H A L M O L O G YHI
O P H T H A L M O L O G YMD
O P H T H A L M O L O G YMD

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1952307373 in the public NPI dataset.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Ophthalmology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Baltimore, Maryland as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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