Unknown Individual – Specialist, NPI 1437139649

Unknown Individual is a healthcare provider. based in Garfield hts, Ohio. specializing in Specialist. They hold a License No. 35026793 (OH). The NPI Number for Unknown Individual is 1437139649

Main info

Organization
Inactive
63 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1437139649
Phone
(216) 581-9222
Address
12000 MCCRACKEN RD
Deactivation Date
9 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2165810700
Graduation Year
1963 (63 years ago)
PAC ID
4981787546
Group Practice PAC ID
4789632902
Professional Enrollment ID
I20080206000265
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

  • 12000, McCracken Road, Garfield Heights, Cuyahoga County, Ohio, 44125, United States

    #200

    GARFIELD HTS, OH 441252933

    Phone: (216) 581-9222

    Fax: (216) 581-7558

    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 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-06-21 • Largest payer in this snapshot: ABBVIE INC. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$18
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 44125)

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Provider's Procedures

Unknown Individual performs procedures in Specialist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYOH76872Ultrasound of rectum1313

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: 4789632902View full group profile
NameSpecialtyState
U R O L O G YOH
Physician AssistantOH
U R O L O G YOH
-VA
U R O L O G YOH
Physician AssistantOH
Physician AssistantOH
U R O L O G YOH
U R O L O G YOH
U R O L O G YOH

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1437139649 is assigned to Unknown Individual under the national enumeration system.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Other Service Providers for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Garfield Hts, Ohio because that is what the record indicates for Unknown Individual.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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