Unknown Individual – Rheumatology Physician, NPI 1306815428

Unknown Individual is a healthcare provider. based in Columbus, Ohio. specializing in Rheumatology Physician. They hold a License No. 35-051114 (OH). The NPI Number for Unknown Individual is 1306815428

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1306815428
Phone
(614) 486-5200
Address
1211 DUBLIN RD
Deactivation Date
6 September 2023

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6144865200
Graduation Year
1979 (47 years ago)
PAC ID
4880627041
Group Practice PAC ID
8628001880
Professional Enrollment ID
I20100326000181
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

  • 1211, Dublin Road, First Community Village, Columbus, Franklin, Ohio, 43215, United States

    COLUMBUS, OH 432151026

    Phone: (614) 486-5200

    Fax: (614) 486-9665

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2023-06-27 • Largest payer in this snapshot: PFIZER INC. ($31).

Total Amount

$31

General + Research + Ownership

Payments

2

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$31
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 43215)

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Provider's Procedures

Unknown Individual performs procedures in Rheumatology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RHEUMATOLOGYOH20610Aspiration and/or injection of large joint or joint capsule234117
RHEUMATOLOGYOH73630X-ray of foot, minimum of 3 views15780

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: 8628001880View full group profile
NameSpecialtyState
R H E U M A T O L O G YOH
Physician AssistantOH
Nurse PractitionerOH
R H E U M A T O L O G YOH
Internal MedicineOH
-OH
Physician AssistantOH
R H E U M A T O L O G YOH
Physician AssistantOH
Internal MedicineOH

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1306815428 — the number used across U.S. healthcare to identify this provider.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Rheumatology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Columbus?
Public fields place Unknown Individual around Columbus, Ohio. Always confirm the exact site before visiting.
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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