Unknown Individual – Physical Medicine & Rehabilitation Physician, NPI 1811979834

Unknown Individual is a healthcare provider. based in Royal oak, Michigan. specializing in Physical Medicine & Rehabilitation Physician. They hold a License No. 4301053338 (MI). The NPI Number for Unknown Individual is 1811979834

Main info

Organization
Inactive
38 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1811979834
Phone
(248) 288-2210
Address
3535 W 13 MILE RD
Deactivation Date
5 December 2024

Doctor Profile

Medical School Name
INDIANA MEDICAL COLLEGE, SCHOOL OF MEDICINE OF PURDUE UNIVERSITY
Secondary Phone
2482882210
Graduation Year
1988 (38 years ago)
PAC ID
1052327988
Group Practice PAC ID
0446265268
Professional Enrollment ID
I20060418000579
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 3535, West 13 Mile Road, Royal Oak, Oakland County, Michigan, 48073, United States

    STE 437

    ROYAL OAK, MI 480736710

    Phone: (248) 288-2210

    Fax: (248) 280-0505

    Type: Mailing

  • 1865 VETERANS PARK DR STE 101

    NAPLES, FL 341090447

    Phone: (239) 254-7778

    Type: Mailing

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 48073)

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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: 0446265268View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationMI
Physical Medicine And RehabilitationMI
-MI
Physical Medicine And RehabilitationMI
Physician AssistantMI
Nurse PractitionerMI
Physical Medicine And RehabilitationMI
Physical Medicine And RehabilitationMI
Physical Medicine And RehabilitationMI
Physical Medicine And RehabilitationMI

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1811979834 — the number used across U.S. healthcare to identify this provider.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Where in Michigan is Unknown Individual registered?
Use Royal Oak, Michigan as the headline location for Unknown Individual here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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