Unknown Individual – Family Medicine Physician, NPI 1285682369

Unknown Individual is a healthcare provider. based in Sterling heights, Michigan. specializing in Family Medicine Physician. They hold a License No. 4301047104 (MI). The NPI Number for Unknown Individual is 1285682369

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1285682369
Phone
(248) 967-5882
Address
PO BOX 1323
Deactivation Date
21 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2489968076
Graduation Year
1974 (52 years ago)
PAC ID
1951394949
Group Practice PAC ID
5890071930
Professional Enrollment ID
I20040406000536
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

  • PO BOX 1323

    STERLING HEIGHTS, MI 483111323

    Phone: (248) 967-5882

    Type: Mailing

  • 22150, Greenfield Road, Oak Park, Oakland County, Michigan, 48237, United States

    SUITE 100

    OAK PARK, MI 482372535

    Phone: (248) 967-5882

    Type: Location

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48311)

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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: 5890071930View full group profile

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1285682369?
NPI 1285682369 belongs to Unknown Individual; compare other details if you need extra assurance.
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.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Sterling Heights, Michigan as the reference point for Unknown Individual, then confirm.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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