Unknown Individual – Emergency Medicine Physician, NPI 1598783722

Unknown Individual is a healthcare provider. based in Columbus, Ohio. specializing in Emergency Medicine Physician. They hold a License No. 104826 (NY). The NPI Number for Unknown Individual is 1598783722

Main info

Organization
Inactive
58 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1598783722
Phone
(740) 380-8000
Address
700 ACKERMAN RD STE 2120
Deactivation Date
5 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5187735780
Graduation Year
1968 (58 years ago)
PAC ID
4183665284
Group Practice PAC ID
7517107881
Professional Enrollment ID
I20050519000142
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:0State licenses:3Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 700 ACKERMAN RD STE 2120

    COLUMBUS, OH 432021559

    Phone: (740) 380-8000

    Type: Mailing

  • 427 Guy Park Ave

    Amsterdam, NY 120101054

    Phone: (518) 841-7237

    Fax: (518) 841-3819

    Type: Location

  • 2414 Kohler Memorial Dr

    Sheboygan, WI 530813129

    Phone: (920) 457-4461

    Type: Location

  • 601 STATE ROUTE 664 N

    LOGAN, OH 431388541

    Phone: (740) 380-8000

    Type: Location

  • Saint Mary's Hospital, 427, Guy Park Avenue, City of Amsterdam, Montgomery County, New York, 12010, United States

    AMSTERDAM, NY 120101054

    Phone: (518) 841-7237

    Fax: (518) 841-3819

    Type: Mailing

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
99284Emergency department visit with moderate level of medical decision making6259$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3530$0
99213Established patient office or other outpatient visit, 20-29 minutes3028$0
99285Emergency department visit with high level of medical decision making2929$0
99283Emergency department visit with low level of medical decision making1616$0
View full utilization report →

Insurance plans in this area (ZIP 43202)

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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: 7517107881View full group profile
NameSpecialtyState
Physician AssistantNY
Nurse PractitionerLA
Emergency MedicineNJ
Internal Medicine, Pediatric MedicineNY
Nurse PractitionerNY
Nurse PractitionerNY
Emergency MedicineNY
Emergency Medicine, Family Practice, Emergency MedicineNY
Emergency MedicineNY
-VT

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1598783722 uniquely identifies Unknown Individual in U.S. healthcare data.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Columbus, Ohio in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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