Unknown Individual – Internal Medicine Physician, NPI 1093776726

Unknown Individual is a healthcare provider. based in Royal oak, Michigan. specializing in Internal Medicine Physician. They hold a License No. 4301053749 (MI). The NPI Number for Unknown Individual is 1093776726

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1093776726
Phone
(248) 551-3000
Address
3535 W 13 MILE RD STE LL
Deactivation Date
7 August 2025

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7349411070
Graduation Year
1979 (47 years ago)
PAC ID
8224165154
Group Practice PAC ID
1850282914
Professional Enrollment ID
I20100423000404

Contacts

Secure Messaging
sshoichet7275@direct.beaumont.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 3535 W 13 MILE RD STE LL

    ROYAL OAK, MI 480736770

    Phone: (248) 551-3000

    Fax: (248) 551-2032

    Type: Location

  • Beaumont Boulevard, Southfield, Oakland County, Michigan, 48034, United States

    SOUTHFIELD, MI 480333849

    Phone: (947) 522-1864

    Fax: (947) 522-0307

    Type: Mailing

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 minutes10177$0
99213Established patient office or other outpatient visit, 20-29 minutes6052$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4242$0
View full utilization report →

Insurance plans in this area (ZIP 48073)

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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: 1850282914View full group profile
NameSpecialtyState
JAMES CHOI (M.D.)
Family PracticeMI
DR. NICHOLAS E BOGGS (D.O.)
Family PracticeMI
DR. RACHA EL-LADKI (DO)
-MI
DR. DEMETRIOS MERMIGES (M.D.)
-MI
DR. TANIA SADIK (M.D.)
Internal MedicineMI
DR. MOHAMMED WAGEH SAAD (M.D.)
Family PracticeMI
DR. SARAH GAMMOUH (M.D.)
Family PracticeMI
SHOSHAN P ZOLO (MD)
Family PracticeMI
MATTHEW JOHN SEBASTIAN (DO)
Family PracticeMI
CHARLES JR. CASH (MD)
-MI

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1093776726 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Royal Oak, Michigan as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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