Unknown Individual – Pediatric Hematology & Oncology Physician, NPI 1497734875

Unknown Individual is a healthcare provider. based in Dayton, Ohio. specializing in Pediatric Hematology & Oncology Physician. They hold a License No. 35-125685 (OH). The NPI Number for Unknown Individual is 1497734875

Main info

Organization
Inactive
37 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1497734875
Phone
Not provided
Address
1 CHILDRENS PLZ
Deactivation Date
7 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9376414000
Graduation Year
1989 (37 years ago)
PAC ID
9638223357
Group Practice PAC ID
5496916124
Professional Enrollment ID
I20171011002933
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Dayton Children’s Hospital, 1, Childrens Plaza, Dayton, Montgomery County, Ohio, 45404, United States

    DAYTON, OH 454041873

    Phone:

    Type: Mailing

  • 700 Childrens Dr

    Columbus, OH 432052664

    Phone: (614) 722-3841

    Fax: (614) 722-4565

    Type: Location

  • 967 Bellefontaine Ave

    Lima, OH 458042888

    Phone: (937) 641-4000

    Fax: (937) 641-4500

    Type: Location

  • 3333 W Tech Rd

    Miamisburg, OH 453420955

    Phone: (937) 641-4000

    Fax: (937) 641-4500

    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 45404)

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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: 5496916124View full group profile
NameSpecialtyState
Critical Care (Intensivists)OH
Emergency Medicine, Pediatric MedicineNY
G A S T R O E N T E R O L O G YOH
-OH
Pediatric Medicine, General SurgeryOH
A N E S T H E S I O L O G YTN
Pediatric MedicineOH
Critical Care (Intensivists), Pediatric MedicineOH
H E M A T O L O G Y/ O N C O L O G YOH
Pediatric MedicineOH

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 1497734875 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 Pediatric Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Dayton, Ohio in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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