Unknown Individual – Family Medicine Physician, NPI 1992781405
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Grand River Avenue, North Corktown, Midtown, Detroit, Wayne County, Michigan, 48208, United States
DETROIT, MI 482271824
Phone: (313) 836-5490
Fax: (313) 836-5224
Type: Location
36542, Jefferson Court, Independence Green Apartments, Farmington Hills, Oakland County, Michigan, 48335, United States
APT 10306
FARMINGTON HILLS, MI 483351939
Phone: (313) 836-5490
Fax: (313) 836-5224
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $83.
Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.
Last reported payment date: 2024-05-06 • Largest payer in this snapshot: Exact Sciences Corporation ($45).
Total Amount
$83
General + Research + Ownership
Payments
5
Total payment records
General Amount
$83
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $45 |
| ITI, Inc. | $23 |
| PFIZER INC. | $15 |
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 42 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 19 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 26 | 22 | $0 |
| 81000 | Manual urinalysis test with examination using microscope, non-automated | 23 | 19 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 21 | 15 | $0 |
Insurance plans in this area (ZIP 48227)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI |
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