Unknown Individual – Internal Medicine Physician, NPI 1164574927

Unknown Individual is a healthcare provider. based in Grant, Michigan. specializing in Internal Medicine Physician. They hold a License No. 4301406659 (MI). The NPI Number for Unknown Individual is 1164574927

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1164574927
Phone
(231) 834-0444
Address
PO BOX 7
Deactivation Date
18 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8474517590
Graduation Year
1985 (41 years ago)
PAC ID
3577621119
Group Practice PAC ID
6002040276
Professional Enrollment ID
I20200622002507
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • Grant, Newaygo County, Michigan, 49327, United States

    GRANT, MI 493270007

    Phone: (231) 834-0444

    Fax: (231) 834-0200

    Type: Mailing

  • 11, Maple Street, Fisher's Grant 24, Pictou First Nation, Pictou County, Nova Scotia, B0K 1X0, Canada

    GRANT, MI 493277900

    Phone: (231) 834-0444

    Fax: (231) 834-0200

    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 49327)

Loading plans...

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: 6002040276View full group profile
NameSpecialtyState
Physician AssistantIL
O B S T E T R I C S/ G Y N E C O L O G YIL
Internal MedicineIL
Family Practice, General Surgery, Preventive MedicineIL
-IL
Physician AssistantUT
Internal MedicineME
General Surgery, Vascular SurgeryKY
Family PracticeIL
Physician AssistantOH

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

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1164574927.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
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.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Grant, Michigan; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

DR. GERALD E. VAN WIEREN (M.D.)

Internal Medicine Physician
71, South Front Street, Grant, Newaygo County, Michigan, 49327, United States
NPI: 1780682252

Family Health Care Grant

Federally Qualified Health Center (FQHC)
Baldwin Family Health Care Clinic, 1615, Michigan Avenue, Baldwin, Pleasant Plains Township, Lake County, Michigan, 49304, United States
NPI: 1306955315

GERALD VAN WIEREN, M.D., P.C.

Internal Medicine Physician
71, South Front Street, Grant, Newaygo County, Michigan, 49327, United States
NPI: 1740431832