Unknown Individual – Infectious Disease Physician, NPI 1083630297

Unknown Individual is a healthcare provider. based in Euclid, Ohio. specializing in Infectious Disease Physician. They hold a License No. 35-063498 (OH). The NPI Number for Unknown Individual is 1083630297

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1083630297
Phone
Not provided
Address
24701 EUCLID AVE
Deactivation Date
15 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
7618063090
Group Practice PAC ID
4789682493
Professional Enrollment ID
I20071017000002

Contacts

Secure Messaging
christinehirsch@uhps.allscriptsdirect.net
Secure Messaging
christinahirsch@uhps.allscriptsdirect.net
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

  • 24701, Euclid Avenue, Euclid, Cuyahoga County, Ohio, 44117, United States

    3RD FLOOR

    EUCLID, OH 441171714

    Phone:

    Type: Mailing

  • University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States

    CLEVELAND, OH 441061716

    Phone: (216) 844-8500

    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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5311$0
99214Established patient office or other outpatient visit, 30-39 minutes1311$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1111$0
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Insurance plans in this area (ZIP 44117)

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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: 4789682493View full group profile
NameSpecialtyState
-OH
-MI
Hospitalist, Internal MedicineOH
-TX
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
O B S T E T R I C S/ G Y N E C O L O G YOH
-OH
-OH

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 1083630297.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Infectious Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Euclid, Ohio; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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Unknown Individual

Infectious Disease Physician
24701, Euclid Avenue, Euclid, Cuyahoga County, Ohio, 44117, United States
NPI: 1114946019