Unknown Individual – Medical Physician Assistant, NPI 1649643263

Unknown Individual is a healthcare provider. based in Oak park, Michigan. specializing in Medical Physician Assistant. They hold a License No. 5601007698 (MI). The NPI Number for Unknown Individual is 1649643263

Main info

Organization
Inactive
11 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1649643263
Phone
(248) 506-0983
Address
14440 TALBOT ST
Deactivation Date
9 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
4284932732
Group Practice PAC ID
0345413258
Professional Enrollment ID
I20160415001521

Contacts

Secure Messaging
mengler3604618@direct.beaumont.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 14440 TALBOT ST

    OAK PARK, MI 482371157

    Phone: (248) 506-0983

    Type: Mailing

  • 5701 BOW POINTE DR

    CLARKSTON, MI 483463198

    Phone: (248) 625-2621

    Fax: (248) 625-2622

    Type: Location

  • 5701 Bow Pointe Dr

    Clarkston, MI 483463198

    Phone: (248) 625-2621

    Fax: (248) 625-2622

    Type: Location

  • 26901 BEAUMONT BLVD STE 3D

    SOUTHFIELD, MI 480333849

    Phone:

    Type: Mailing

  • 28050 GRAND RIVER AVE

    FARMINGTON HILLS, MI 483365919

    Phone: (248) 798-3107

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $126.

Total Amount is formed as General ($126) + Research ($0) + Ownership ($0) = $126.

Last reported payment date: 2024-01-19 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($126).

Total Amount

$126

General + Research + Ownership

Payments

1

Total payment records

General Amount

$126

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-19

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8378$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3730$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2216$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1816$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 48237)

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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: 0345413258View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)MI
-MI
-MI
-MI
Internal MedicineMI
Otolaryngology, Plastic And Reconstructive SurgeryMI
Medical Oncology, Internal MedicineMI
-MI
-AE
Nurse PractitionerMI

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1649643263 for Unknown Individual.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Oak Park, Michigan?
If you are local to Oak Park, Michigan, Unknown Individual may be relevant to your search.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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