Unknown Individual – Hospitalist Physician, NPI 1265533301

Unknown Individual is a healthcare provider. based in Columbus, Ohio. specializing in Hospitalist Physician. They hold a License No. 39437 (IA). The NPI Number for Unknown Individual is 1265533301

Main info

Organization
Inactive
23 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1265533301
Phone
(614) 293-7499
Address
700 ACKERMAN RD STE 570
Deactivation Date
27 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
2769588813
Group Practice PAC ID
0446153662
Professional Enrollment ID
I20110712000727
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 570, Ackerman Road, Columbus, Sharon, Franklin, Ohio, 43202, United States

    COLUMBUS, OH 432021579

    Phone: (614) 293-7499

    Type: Mailing

  • Wexner Medical Center at The Ohio State University, 410, West Tenth Avenue, University District District 4, Columbus, Franklin, Ohio, 43210, United States

    COLUMBUS, OH 43210

    Phone: (614) 293-7499

    Fax: (614) 366-2360

    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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes422188$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes12179$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes9592$0
99238Hospital discharge day management, 30 minutes or less9184$0
99239Hospital discharge day management, more than 30 minutes6565$0
View full utilization report →

Insurance plans in this area (ZIP 43202)

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Provider's Procedures

Unknown Individual performs procedures in Hospitalist Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEIA85610Blood test, clotting time2813
INTERNAL MEDICINEIA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report612483

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: 0446153662View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)IL
Emergency MedicineIA
Internal Medicine, HospitalistIA
Physician AssistantIA
Emergency MedicineIA
Internal MedicineIA
-IA
Nurse PractitionerRI
Anesthesiology, Interventional Pain Management, Pain ManagementIA

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1265533301 for Unknown Individual.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Hospitalist Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Columbus, Ohio. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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