Unknown Individual – Internal Medicine Physician, NPI 1902800345

Unknown Individual is a healthcare provider. based in Marquette, Michigan. specializing in Internal Medicine Physician. They hold a License No. 4301049837 (MI). The NPI Number for Unknown Individual is 1902800345

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1902800345
Phone
(906) 228-4478
Address
11 MARQUETTE DR
Deactivation Date
26 July 2023

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1983 (43 years ago)
PAC ID
6305822164
Professional Enrollment ID
I20101020001313
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

  • Marquette Drive, Shiras Hills, Marquette, Marquette County, Michigan, 49855, United States

    MARQUETTE, MI 498555232

    Phone: (906) 228-4478

    Type: Mailing

  • Eye Associates of Marquette, 1414, West Fair Avenue, Marquette, Marquette County, Michigan, 49855, United States

    STE 201

    MARQUETTE, MI 498555406

    Phone: (906) 225-4500

    Fax: (906) 225-3919

    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 $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-01-03 • Largest payer in this snapshot: ABBVIE INC. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$18
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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49855)

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Provider's Procedures

Unknown Individual performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMI83036Hemoglobin A1C level346198
INTERNAL MEDICINEMI85610Blood test, clotting time43651
INTERNAL MEDICINEMI90670Pneumococcal vaccine for injection into muscle5757

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1902800345 — the number used across U.S. healthcare to identify this provider.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Marquette, Michigan.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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