Unknown Individual – Family Medicine Physician, NPI 1134358781

Unknown Individual is a healthcare provider. based in Dublin, Ohio. specializing in Family Medicine Physician. They hold a License No. 34.012621 (OH). The NPI Number for Unknown Individual is 1134358781

Main info

Organization
Inactive
17 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1134358781
Phone
(419) 520-2495
Address
5450 FRANTZ RD STE 360
Deactivation Date
2 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6149230300
Graduation Year
2009 (17 years ago)
PAC ID
8820279243
Group Practice PAC ID
3476733700
Professional Enrollment ID
I20170322001668

Contacts

Secure Messaging
mwang344153@direct.ohiohealth.com
Data current as of
20 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

  • Frantz Road, Dublin, Franklin, Ohio, 43017, United States

    DUBLIN, OH 430164141

    Phone: (419) 520-2495

    Fax: (419) 520-2496

    Type: Mailing

  • Hamilton Road, Gahanna, Mifflin Township, Ohio, 43230, United States

    GAHANNA, OH 432301324

    Phone: (614) 775-9870

    Fax: (614) 775-9875

    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 43016)

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Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEAZ81002Urinalysis, manual test1616

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: 3476733700View full group profile
NameSpecialtyState
-NC
Nurse PractitionerOH
General PracticeOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerIL
Emergency MedicineOH
Family PracticeOH
Physician AssistantOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1134358781.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Dublin?
Unknown Individual currently maps to Dublin, Ohio in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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