Unknown Individual – Orthopaedic Surgery Physician, NPI 1013928456

Unknown Individual is a healthcare provider. based in Centerville, Ohio. specializing in Orthopaedic Surgery Physician. They hold a License No. 35-05-3508-L (OH). The NPI Number for Unknown Individual is 1013928456

Main info

Organization
Inactive
46 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1013928456
Phone
(937) 433-5309
Address
6438 WILMINGTON PIKE STE 220
Deactivation Date
25 September 2025

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9372941632
Graduation Year
1980 (46 years ago)
PAC ID
6709873409
Group Practice PAC ID
0840104360
Professional Enrollment ID
I20041019000247

Contacts

Secure Messaging
jlochner180035@direct.ketteringhealth.org
FHIR Endpoint
https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • 6438 WILMINGTON PIKE STE 220

    CENTERVILLE, OH 454597021

    Phone: (937) 433-5309

    Fax: (937) 433-1150

    Type: Mailing

  • 6490, Centerville Business Parkway, Oak Ridge, Centerville, Montgomery County, Ohio, 45459, United States

    CENTERVILLE, OH 45459

    Phone: (937) 433-5309

    Fax: (937) 433-1340

    Type: Mailing

  • 2350, Miami Valley Drive, Centerville, Montgomery County, Ohio, 45459, United States

    SUITE 320

    CENTERVILLE, OH 45459

    Phone: (937) 433-5309

    Fax: (937) 433-1340

    Type: Location

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 45459)

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Provider's Procedures

Unknown Individual performs procedures in Orthopaedic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYOH20610Aspiration and/or injection of large joint or joint capsule16998
ORTHOPEDIC SURGERYOH73562X-ray of knee, 3 views3528

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: 0840104360View full group profile

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 1013928456.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Centerville, Ohio; more addresses can appear in NPPES.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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