Unknown Individual – Allergy Physician, NPI 1295849594

Unknown Individual is a healthcare provider. based in Chesterfield, Missouri. specializing in Allergy Physician. They hold a License No. R1G07 (MO). The NPI Number for Unknown Individual is 1295849594

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1295849594
Phone
(314) 469-5944
Address
224 S WOODS MILL RD
Deactivation Date
16 October 2024

Doctor Profile

Medical School Name
DREXEL UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
3148782788
Graduation Year
1983 (43 years ago)
PAC ID
7113077488
Group Practice PAC ID
8527124320
Professional Enrollment ID
I20090608000292
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

  • 224, South Woods Mill Road, Chesterfield, Saint Louis County, Missouri, 63017, United States

    SUITE 270 SOUTH

    CHESTERFIELD, MO 630173451

    Phone: (314) 469-5944

    Fax: (314) 453-9377

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $52.

Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.

Last reported payment date: 2023-02-07 • Largest payer in this snapshot: Pharming Healthcare, Inc. ($52).

Total Amount

$52

General + Research + Ownership

Payments

2

Total payment records

General Amount

$52

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-07

Latest reported date

Top Companies

Largest payers in this snapshot

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95165Professional service for preparation and provision of 1 or more antigens77424$0
95117Professional service for multiple injections of allergen26024$0
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Insurance plans in this area (ZIP 63017)

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Provider's Procedures

Unknown Individual performs procedures in Allergy Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ALLERGY/IMMUNOLOGYMO95004Injection of allergenic extracts into skin, accessed through the skin124622
ALLERGY/IMMUNOLOGYMO95117Injection of incremental dosages of allergen, 2 or more injections47025

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: 8527124320View full group profile
NameSpecialtyState
Allergy/Immunology, Pediatric MedicineMO
Physician AssistantIL
A L L E R G Y/ I M M U N O L O G YMO

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1295849594.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Allergy Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Chesterfield, Missouri as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.