Unknown Individual – Physician Assistant, NPI 1083996599

Unknown Individual is a healthcare provider. based in Auburn hills, Michigan. specializing in Physician Assistant. They hold a License No. 5601006134 (MI). The NPI Number for Unknown Individual is 1083996599

Main info

Organization
Inactive
15 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1083996599
Phone
(248) 373-7600
Address
937 N OPDYKE RD
Deactivation Date
16 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5867994082
Graduation Year
2011 (15 years ago)
PAC ID
7315106135
Group Practice PAC ID
5597932525
Professional Enrollment ID
I20120313000884
Data current as of
20 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

  • 937 N OPDYKE RD

    AUBURN HILLS, MI 483262641

    Phone: (248) 373-7600

    Fax: (248) 373-7443

    Type: Mailing

  • 5701 BOW POINTE DRIVE

    SUITE 100

    CLARKSTON, MI 483463199

    Phone: (248) 625-2621

    Fax: (248) 625-2622

    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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes5555$0
99204New patient office or other outpatient visit, 45-59 minutes4141$0
99213Established patient office or other outpatient visit, 20-29 minutes2626$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus2222$0
81003Automated urinalysis test1919$0
View full utilization report →

Insurance plans in this area (ZIP 48326)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1083996599 for Unknown Individual.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Auburn Hills, Michigan. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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