Unknown Individual – Podiatrist, NPI 1023003217

Unknown Individual is a healthcare provider. based in Troy, Michigan. specializing in Podiatrist. They hold a License No. 07000531A (IN). The NPI Number for Unknown Individual is 1023003217

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1023003217
Phone
(248) 824-6600
Address
PO BOX 4839
Deactivation Date
10 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1983 (43 years ago)
PAC ID
8123150737
Professional Enrollment ID
I20100717000090
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Troy Post Office, South Brundidge Street, Highland Park, Troy, Pike County, Alabama, 36081, United States

    TROY, MI 480994839

    Phone: (248) 824-6600

    Fax: (855) 618-6655

    Type: Mailing

  • 9001, Wesleyan Road, Indianapolis, Marion County, Indiana, 46268, United States

    SUITE 100A

    INDIANAPOLIS, IN 462681176

    Phone: (317) 471-8701

    Fax: (317) 471-8702

    Type: Location

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 48099)

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Provider's Procedures

Unknown Individual performs procedures in Podiatrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYIN11056Removal of 2 to 4 thickened skin growths6351

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1023003217 — the number used across U.S. healthcare to identify this provider.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Podiatrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Troy, Michigan as the reference point for Unknown Individual, then confirm.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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