Unknown Individual – Internal Medicine Physician, NPI 1093712259

Unknown Individual is a healthcare provider. based in Farmington hills, Michigan. specializing in Internal Medicine Physician. They hold a License No. 4301406895 (MI). The NPI Number for Unknown Individual is 1093712259

Main info

Organization
Inactive
40 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1093712259
Phone
(248) 851-1434
Address
29992 NORTHWESTERN HWY STE C
Deactivation Date
10 February 2022

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5867517515
Graduation Year
1986 (40 years ago)
PAC ID
0143321752
Group Practice PAC ID
0345413258
Professional Enrollment ID
I20080521000845
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

Loading map...

Provider Addresses for Unknown Individual

  • Northwestern Highway, Farmington Hills, Oakland County, Michigan, 48334, United States

    FARMINGTON HILLS, MI 483343292

    Phone: (248) 851-1434

    Fax: (248) 851-5182

    Type: Mailing

  • Hoover Road, Warren, Macomb County, Michigan, 48093, United States

    WARREN, MI 480935436

    Phone: (586) 276-7530

    Fax: (586) 276-7531

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 48334)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMI20610Aspiration and/or injection of large joint or joint capsule3523
INTERNAL MEDICINEMI93922Ultrasound study of arteries of both arms and legs1313

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: 0345413258View full group profile
NameSpecialtyState
DR. KIRITKUMAR CHHOTABHAI PATEL (M.D.)
Cardiovascular Disease (Cardiology)MI
MS. NANCY ANN NORTHWAY (MS CCA)
-MI
DR. DAVID J KEARNEY (MD)
-MI
THOMAS J ONEIL (DO)
-MI
VINAY K REDDY (M.D.)
Internal MedicineMI
JAMES ARONOVITZ (DO)
Otolaryngology, Plastic And Reconstructive SurgeryMI
RICHARD ZEKMAN (DO)
Medical Oncology, Internal MedicineMI
DR. ERWIN E FELDMAN (D.O.)
-MI
MRS. NICOLE MARIE STANCZAK (NP)
-AE
ANDREW LAWRENCE ROBERTS (MD)
Pediatric MedicineMI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1093712259 for Unknown Individual, then check state licensing separately.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Internal Medicine Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Farmington Hills, Michigan as a primary anchor for Unknown Individual unless the record lists multiple sites.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

DR. THEODORE A WIZENBERG (M.D.)

Internal Medicine Physician
Westwood Road, Farmington Hills, Oakland County, Michigan, 48331, United States
NPI: 1932102423

LANORE P NAJOR (DO)

Internal Medicine Physician
30055, Northwestern Highway, Farmington Hills, Southfield Township, Oakland County, Michigan, 48334, United States
NPI: 1740285493

DR. JYOTHSNA YALAVARTHI (MD)

Internal Medicine Physician
36123, Schoolcraft Road, Livonia, Wayne County, Michigan, 48150, United States
NPI: 1003811662

DAVID JACOBS (MD)

Internal Medicine Physician
130, Town Center Drive, Troy, Oakland County, Michigan, 48084, United States
NPI: 1437158185

SHEILA PRASAD MEFTAH (MD)

Internal Medicine Physician
30349, Kingsway Drive, Farmington Hills, Oakland County, Michigan, 48331, United States
NPI: 1659370815

HOWARD H SCHUBINER (MD)

Internal Medicine Physician
Providence Parkway, Novi, Oakland County, Michigan, 48374:48393, United States
NPI: 1215938154

SUBBURAMAN SIVAKUMAR (M.D D.O)

Internal Medicine Physician
33742 W 12 MILE RD
NPI: 1073514873

Unknown Individual

Internal Medicine Physician
Telegraph Road, Southfield, Oakland County, Michigan, 48033, United States
NPI: 1669473187

JENNIFER H.F. WANG (M.D.)

Internal Medicine Physician
1949 W 12 Mile Rd Ste 100
NPI: 1962404483