Unknown Individual – Internal Medicine Physician, NPI 1407954233

Unknown Individual is a healthcare provider. based in Cleveland, Ohio. specializing in Internal Medicine Physician. They hold a License No. 35-049826 (OH). The NPI Number for Unknown Individual is 1407954233

Main info

Organization
Inactive
45 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1407954233
Phone
Not provided
Address
1001 LAKESIDE AVE E
Deactivation Date
24 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1981 (45 years ago)
PAC ID
8527058346
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20040514000089
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

  • 1001, Lakeside Avenue East, East 4th Street, Warehouse District, Cleveland, Cuyahoga County, Ohio, 44114, United States

    #1200

    CLEVELAND, OH 441141158

    Phone:

    Type: Mailing

  • MetroHealth Cleveland Heights Medical Center, 10, Severance Circle, Cleveland Heights, Cuyahoga County, Ohio, 44118, United States

    CLEVELAND HEIGHTS, OH 441181533

    Phone: (216) 621-5600

    Fax: (216) 297-2532

    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 44114)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
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 1407954233.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Cleveland?
Public fields place Unknown Individual around Cleveland, Ohio. Always confirm the exact site before visiting.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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