Unknown Individual – Pain Medicine (Anesthesiology) Physician, NPI 1245293398

Unknown Individual is a healthcare provider. based in Battle creek, Michigan. specializing in Pain Medicine (Anesthesiology) Physician. They hold a License No. 4301060535 (MI). The NPI Number for Unknown Individual is 1245293398

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1245293398
Phone
(269) 979-9515
Address
3600 CAPITAL AVE SW
Deactivation Date
8 November 2024

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
2692237045
Graduation Year
1987 (39 years ago)
PAC ID
5991774325
Group Practice PAC ID
0042470387
Professional Enrollment ID
I20041004000094
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

  • 3600, Capital Avenue Southwest, Morgan Corners, Battle Creek, Leroy Township, Calhoun County, Michigan, 49015, United States

    STE 102

    BATTLE CREEK, MI 490159393

    Phone: (269) 979-9515

    Fax: (269) 979-9328

    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
J3300Injection, triamcinolone acetonide, preservative free, 1 mg12,48076$0
99214Established patient office or other outpatient visit, 30-39 minutes495102$0
J1885Injection, ketorolac tromethamine, per 15 mg41054$0
J1100Injection, dexamethasone sodium phosphate, 1 mg34215$0
76000Imaging guidance for procedure, 60 minutes or less18267$0
View full utilization report →

Insurance plans in this area (ZIP 49015)

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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: 0042470387View full group profile

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1245293398 — the number used across U.S. healthcare to identify this provider.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Battle Creek?
Unknown Individual currently maps to Battle Creek, Michigan in this extract.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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