Unknown Individual – Hospitalist Physician, NPI 1245223924

Unknown Individual is a healthcare provider. based in Cincinnati, Ohio. specializing in Hospitalist Physician. They hold a License No. 38207 (KY). The NPI Number for Unknown Individual is 1245223924

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1245223924
Phone
(859) 212-4468
Address
PO BOX 635283
Deactivation Date
23 July 2021

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
8592124468
Graduation Year
1995 (31 years ago)
PAC ID
8527962919
Group Practice PAC ID
2163326240
Professional Enrollment ID
I20031126000437
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States

    CINCINNATI, OH 452635283

    Phone: (859) 212-4468

    Fax: (859) 212-4357

    Type: Mailing

  • Saint Elizabeth Medical Center Edgewood, 1, Medical Village Drive, Edgewood, Kenton County, Kentucky, 41017, United States

    EDGEWOOD, KY 41017

    Phone: (859) 212-0003

    Fax: (859) 344-5553

    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 $94.

Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.

Last reported payment date: 2023-03-15 • Largest payer in this snapshot: Abbott Laboratories ($94).

Total Amount

$94

General + Research + Ownership

Payments

1

Total payment records

General Amount

$94

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$94
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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45263)

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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: 2163326240View full group profile
NameSpecialtyState
Internal MedicineKY
Family PracticeOH
H O S P I T A L I S TOH
Family PracticeKY
Family PracticeOH
G A S T R O E N T E R O L O G YKY
-KY
Family PracticeOH
-FL
Nurse PractitionerKY

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1245223924 in the public NPI dataset.
What dates should I check for Unknown Individual's activity?
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 Hospitalist Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Cincinnati, Ohio in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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