Unknown Individual – Family Medicine Physician, NPI 1497776835

Unknown Individual is a healthcare provider. based in Auburn hills, Michigan. specializing in Family Medicine Physician. They hold a License No. 5101010353 (MI). The NPI Number for Unknown Individual is 1497776835

Main info

Organization
Inactive
38 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1497776835
Phone
(248) 333-2600
Address
719 S OPDYKE
Deactivation Date
1 March 2023

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
7315020419
Professional Enrollment ID
I20121120000558
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

  • 719, South Opdyke Road, Auburn Hills, Oakland County, Michigan, 48326, United States

    AUBURN HILLS, MI 48326

    Phone: (248) 333-2600

    Fax: (248) 333-3250

    Type: Mailing

  • 719 S OPDYKE RD

    AUBURN HILLS, MI 483263436

    Phone: (248) 333-2600

    Fax: (248) 333-3250

    Type: Mailing

  • 3959 CENTERPOINT PKWY STE 100

    PONTIAC, MI 483413121

    Phone: (248) 333-2600

    Fax: (248) 333-3250

    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.

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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.

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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 48326)

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Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL PRACTICEMI81002Urinalysis, manual test241199
GENERAL PRACTICEMI83036Hemoglobin A1C level11968
GENERAL PRACTICEMI94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration9285

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1497776835 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 Family Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Auburn Hills, Michigan for Unknown Individual; expand the address list for detail.
What if Auburn Hills, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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