Unknown Individual – Plastic Surgery Physician, NPI 1407919020

Unknown Individual is a healthcare provider. based in Detroit, Michigan. specializing in Plastic Surgery Physician. They hold a License No. 4301024493 (MI). The NPI Number for Unknown Individual is 1407919020

Main info

Organization
Inactive
66 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1407919020
Phone
(313) 916-7425
Address
HENRY FORD HEALTH SYSTEM
Deactivation Date
7 August 2024

Doctor Profile

Medical School Name
JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Secondary Phone
3139162600
Graduation Year
1960 (66 years ago)
PAC ID
8224168059
Group Practice PAC ID
0547178311
Professional Enrollment ID
I20100604000834
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • Henry Ford Health System, 1, Ford Place, Henry Ford Health System Corporate Office, New Center, Detroit, Wayne County, Michigan, 48202, United States

    2799 WEST GRAND BLVD.

    DETROIT, MI 48202

    Phone: (313) 916-7425

    Fax: (313) 874-3623

    Mailing address matches the actual address.

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 48202)

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: 0547178311View full group profile
NameSpecialtyState
-MI
Gastroenterology, Internal MedicinePA
Certified Registered Nurse Anesthetist (Crna)MI
Clinical Social WorkerMI
-MI
Physician AssistantMI
Qualified AudiologistMI
O P H T H A L M O L O G YMI
-MI
-MI

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

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1407919020; it appears in the national provider directory.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Plastic Surgery Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Detroit, Michigan for Unknown Individual; expand the address list for detail.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1407919020. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

DR. MARK ALLEN GREVIOUS (M.D.)

Plastic Surgery Physician
849W OHIO ST 1
NPI: 1194727909

MARIAM AWADA (M.D.)

Plastic Surgery Physician
PO BOX 44047
NPI: 1114979515

DR. LISA ANN WHITTY BRADLEY (MD)

Plastic and Reconstructive Surgery Physician
3601 SW 160th Ave
NPI: 1801808662

DR. BELARMINO T FROGOZO (M.D.)

Plastic Surgery Physician
PO BOX 781076
NPI: 1780770255

HENRY FORD HEALTH SYSTEM

Plastic Surgery Physician
Henry Ford Hospital, 2799, West Grand Boulevard, New Center, Detroit, Wayne County, Michigan, 48202, United States
NPI: 1528142858

AAMIR SIDDIQUI (M.D.)

Plastic Surgery Physician
Henry Ford Health System, 1, Ford Place, Henry Ford Health System Corporate Office, New Center, Detroit, Wayne County, Michigan, 48202, United States
NPI: 1023171659

DONNA G. TEPPER (M.D.)

Plastic Surgery Physician
Henry Ford Health System, 1, Ford Place, Henry Ford Health System Corporate Office, New Center, Detroit, Wayne County, Michigan, 48202, United States
NPI: 1487717013

HERMAN P. HOUIN (M.D.)

Surgery Physician
Henry Ford Health System, 1, Ford Place, Henry Ford Health System Corporate Office, New Center, Detroit, Wayne County, Michigan, 48202, United States
NPI: 1497818017

KENNETH J. MOQUIN (M.D.)

Plastic Surgery Physician
Henry Ford Health System, 1, Ford Place, Henry Ford Health System Corporate Office, New Center, Detroit, Wayne County, Michigan, 48202, United States
NPI: 1124181755