Unknown Individual – Specialist, NPI 1922075100

Unknown Individual is a healthcare provider. based in Tecumseh, Michigan. specializing in Specialist. They hold a License No. 4301031951 (MI). The NPI Number for Unknown Individual is 1922075100

Main info

Organization
Inactive
67 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1922075100
Phone
(517) 423-4088
Address
10 CAIRNS ST
Deactivation Date
30 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5174234088
Graduation Year
1959 (67 years ago)
PAC ID
8022149459
Professional Enrollment ID
I20100629000871
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

  • 10, Cairns Street, Tecumseh, Lenawee County, Michigan, 49286, United States

    TECUMSEH, MI 492861202

    Phone: (517) 423-4088

    Fax: (517) 423-5313

    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 49286)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1922075100.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Other Service Providers for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Michigan?
You will see Tecumseh, Michigan on file for Unknown Individual alongside any extra practice locations.
What if Tecumseh, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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