Unknown Individual – Neurology Physician, NPI 1447234075

Unknown Individual is a healthcare provider. based in Saginaw, Michigan. specializing in Neurology Physician. They hold a License No. 5101011559 (MI). The NPI Number for Unknown Individual is 1447234075

Main info

Organization
Inactive
35 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1447234075
Phone
(989) 583-7090
Address
1447 N HARRISON ST
Deactivation Date
17 May 2023

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9895837090
Graduation Year
1991 (35 years ago)
PAC ID
5294822565
Group Practice PAC ID
2769387778
Professional Enrollment ID
I20071102000293

Contacts

Secure Messaging
jbeltran1270@direct.covenanthealthcare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • Covenant Medical Center Harrison, 1447, North Harrison Street, Old Saginaw City, Saginaw, Saginaw County, Michigan, 48602, United States

    SAGINAW, MI 486024727

    Phone: (989) 583-7090

    Fax: (989) 583-7091

    Type: Mailing

  • Covenant Medical Center, 800, Cooper Avenue, Saginaw, Saginaw County, Michigan, 48602, United States

    SUITE 11

    SAGINAW, MI 48602

    Phone: (989) 583-7090

    Fax: (989) 583-7091

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $293.

Total Amount is formed as General ($293) + Research ($0) + Ownership ($0) = $293.

Last reported payment date: 2023-03-16 • Largest payer in this snapshot: EMD Serono, Inc. ($129).

Total Amount

$293

General + Research + Ownership

Payments

10

Total payment records

General Amount

$293

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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
99214Established patient office or other outpatient visit, 30-39 minutes3937$0
99213Established patient office or other outpatient visit, 20-29 minutes1818$0
99204New patient office or other outpatient visit, 45-59 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 48602)

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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: 2769387778View full group profile
NameSpecialtyState
Neurology, Internal MedicineMI
-MI
-MI
Pulmonary Disease, Critical Care (Intensivists)MI
Nurse PractitionerMI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Family PracticeMI
Internal MedicineMI
Internal MedicineOH

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1447234075 uniquely identifies Unknown Individual in U.S. healthcare data.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Neurology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Saginaw, Michigan?
If you are local to Saginaw, Michigan, Unknown Individual may be relevant to your search.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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