Unknown Individual – Clinical Pathology/Laboratory Medicine Physician, NPI 1184705527

Unknown Individual is a healthcare provider. based in Ann arbor, Michigan. specializing in Clinical Pathology/Laboratory Medicine Physician. They hold a License No. 4301082593 (MI). The NPI Number for Unknown Individual is 1184705527

Main info

Organization
Inactive
29 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1184705527
Phone
(734) 936-4000
Address
1500 E MEDICAL CENTER DR
Deactivation Date
6 March 2024

Doctor Profile

Medical School Name
JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Secondary Phone
7349364000
Graduation Year
1997 (29 years ago)
PAC ID
1658276381
Group Practice PAC ID
3779496856
Professional Enrollment ID
I20031204001031
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

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Provider Addresses for Unknown Individual

  • Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States

    ANN ARBOR, MI 481095000

    Phone: (734) 936-4000

    Type: Location

  • South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    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
G0452Molecular pathology procedure; physician interpretation and report638304$0
84165Protein measurement, serum453384$0
86334Immunologic analysis technique on serum (immunofixation)222202$0
84166Protein measurement, body fluid10077$0
88377Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure4944$0
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Insurance plans in this area (ZIP 48109)

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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: 3779496856View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
Physical Medicine And RehabilitationMI
A N E S T H E S I O L O G YMI
Internal Medicine, Pediatric MedicineIL
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1184705527.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Clinical Pathology/Laboratory Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Ann Arbor, 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.

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