Unknown Individual – Internal Medicine Physician, NPI 1184790495

Unknown Individual is a healthcare provider. based in Livonia, Michigan. specializing in Internal Medicine Physician. They hold a License No. KP050099 (MI). The NPI Number for Unknown Individual is 1184790495

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1184790495
Phone
(734) 542-5512
Address
38525 EIGHT MILE RD
Deactivation Date
17 April 2025

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1985 (41 years ago)
PAC ID
9830083013
Professional Enrollment ID
I20040210000050
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

Provider Addresses for Unknown Individual

  • 38525 EIGHT MILE RD

    LIVONIA, MI 481521012

    Phone: (734) 542-5512

    Fax: (734) 542-3115

    Mailing address matches the actual address.

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
99491Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month189103$0
99487Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month7862$0
99489Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month4238$0
82746Folic acid level, serum3937$0
84443Blood test, thyroid stimulating hormone (tsh)3937$0
View full utilization report →

Insurance plans in this area (ZIP 48152)

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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 MEDICINEMI81002Urinalysis, manual test248142

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1184790495 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What kind of provider is Unknown Individual?
The page reflects Internal Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Livonia, Michigan for Unknown Individual based on available NPPES addresses.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1184790495. Always confirm identity and privileges with the practice and licensing boards.

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