Unknown Individual – General Practice Physician, NPI 1659339570

General Practice Physician

Unknown Individual is a healthcare provider. based in Lansing, Michigan. specializing in General Practice Physician. They hold a License No. LM030787 (MI). The NPI Number for Unknown Individual is 1659339570

Main info

Organization

Inactive

55 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1659339570

Phone

(517) 487-0870

Address

1601 E MICHIGAN AVE

Deactivation Date

30 June 2021

Doctor Profile

Medical School Name

LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

5174870870

Graduation Year

1971 (55 years ago)

PAC ID

6002932480

Professional Enrollment ID

I20100922000928

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

1601, East Michigan Avenue, Lansing, Lansing Charter Township, Ingham County, Michigan, 48912, United States
LANSING, MI 48912
Phone: (517) 487-0870
Fax: (517) 487-9425
Mailing address matches the actual address.

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 48912)

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Provider's Procedures

Unknown Individual performs procedures in General Practice Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
GENERAL PRACTICE	MI	20610	Aspiration and/or injection of large joint or joint capsule	15	13
GENERAL PRACTICE	MI	82270	Stool analysis for blood to screen for colon tumors	172	172

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?

You can confirm Unknown Individual with NPI 1659339570; it appears in the national provider directory.

Why would Unknown Individual's listing show inactive?

Inactive in NPPES means the identifier is not currently active in that dataset.

What does Unknown Individual treat or focus on?

Patients typically see Unknown Individual under the specialty General Practice Physician. Clinical services aligned with this taxonomy classification.

Where does public data place Unknown Individual?

The snapshot lists Lansing, Michigan for Unknown Individual; download NPPES for the complete set.

Is Unknown Individual a real provider?

This page reflects official NPPES data for NPI 1659339570. Always confirm identity and privileges with the practice and licensing boards.