Unknown Individual – Internal Medicine Physician, NPI 1023013372

Internal Medicine Physician

Unknown Individual is a healthcare provider. based in Miamisburg, Ohio. specializing in Internal Medicine Physician. They hold a License No. 35042560 (OH). The NPI Number for Unknown Individual is 1023013372

Main info

Organization

Inactive

49 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1023013372

Phone

(937) 384-6800

Address

2115 Leiter Rd

Deactivation Date

6 September 2023

Doctor Profile

Medical School Name

LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

9373846800

Graduation Year

1977 (49 years ago)

PAC ID

5193746956

Group Practice PAC ID

4688570278

Professional Enrollment ID

I20080528000448

Contacts

FHIR Endpoint

https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Secure Messaging

dlim179186@direct.ketteringhealth.org

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

Provider Addresses for Unknown Individual

2115 Leiter Rd
Miamisburg, OH 453423600
Phone: (937) 384-6800
Type: Location
2115, Leiter Road, Miamisburg, Montgomery County, Ohio, 45342, United States
MIAMISBURG, OH 453423600
Phone: (937) 384-6800
Type: Location
1 PRESTIGE PL STE 550
MIAMISBURG, OH 453426115
Phone: (937) 762-1306
Fax: (937) 522-7017
Type: Mailing

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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
99213	Established patient office or other outpatient visit, 20-29 minutes	21	17	$0

View full utilization report →

Insurance plans in this area (ZIP 45342)

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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: 4688570278View full group profile

Name	Specialty	State
DR. ROBERT T SMITH (MD)	-	OH
DR. MELISSA MEI JUNG BUTLER (MD)	-	OH
CHOWDRY M BASHIR (MD)	-	OH

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?

Public records show Unknown Individual under NPI 1023013372.

What does inactive NPI status mean for Unknown Individual?

Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.

What geographic area is tied to Unknown Individual?

Unknown Individual is associated with Miamisburg, Ohio in the same public data insurers reference.

Can I export Unknown Individual's record?

You can download the official NPPES record; we summarize key fields for readability.