Unknown Individual – Anesthesiology Physician, NPI 1154320208

Unknown Individual is a healthcare provider. based in Toledo, Ohio. specializing in Anesthesiology Physician. They hold a License No. 35053487 (OH). The NPI Number for Unknown Individual is 1154320208

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1154320208
Phone
(419) 251-3740
Address
2409 CHERRY ST
Deactivation Date
13 March 2024

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
4192513232
Graduation Year
1979 (47 years ago)
PAC ID
6709781248
Group Practice PAC ID
3173648300
Professional Enrollment ID
I20040406001401
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

  • 2409, Cherry Street, Birckhead Place, Toledo, Lucas County, Ohio, 43608, United States

    #305

    TOLEDO, OH 436082625

    Phone: (419) 251-3740

    Fax: (419) 251-3859

    Type: Mailing

  • Mercy Saint Vincent Medical Center, 2213, Cherry Street, Birckhead Place, Toledo, Lucas County, Ohio, 43608, United States

    TOLEDO, OH 43608

    Phone: (419) 251-3232

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2023-12-14 • Largest payer in this snapshot: Haemonetics Corporation ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Haemonetics Corporation$24
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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2525$0
00902Anesthesia for procedure on anus and rectum1817$0
00910Anesthesia for other procedure on urinary system through urethra1817$0
00918Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope1717$0
00145Anesthesia for retinal surgery1313$0
View full utilization report →

Insurance plans in this area (ZIP 43608)

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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: 3173648300View full group profile

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1154320208 as the unique 10-digit identifier.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Anesthesiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Toledo?
Unknown Individual currently maps to Toledo, Ohio in this extract.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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