Unknown Individual – Critical Care Medicine (Internal Medicine) Physician, NPI 1659365740

Critical Care Medicine (Internal Medicine) Physician

Unknown Individual is a healthcare provider. based in Lima, Ohio. specializing in Critical Care Medicine (Internal Medicine) Physician. They hold a License No. 62073 (OH). The NPI Number for Unknown Individual is 1659365740

Main info

Organization

Inactive

38 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1659365740

Phone

(419) 227-7399

Address

750 W HIGH ST

Deactivation Date

25 January 2023

Doctor Profile

Medical School Name

TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE

Secondary Phone

4192277399

Graduation Year

1988 (38 years ago)

PAC ID

3173424959

Group Practice PAC ID

3375607351

Professional Enrollment ID

I20040115000407

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

750, West High Street, Lima, Allen County, Ohio, 45801, United States
STE 250
LIMA, OH 458013959
Phone: (419) 227-7399
Fax: (419) 229-0123
Type: Location
Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States
CINCINNATI, OH 452630001
Phone: (516) 981-5015
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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45801)

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Provider's Procedures

Unknown Individual performs procedures in Critical Care Medicine (Internal Medicine) Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
INTERNAL MEDICINE	OH	90670	Pneumococcal vaccine for injection into muscle	12	12

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: 3375607351View full group profile

Name	Specialty	State
MARK T MUELLER (M.D.)	Family Practice	OH
CHERYL LYNN MOTTER (CNP)	-	OH
ERIC W. AMSTUTZ (CNP)	Nurse Practitioner	OH
PRATAP BALUSU (MD)	Internal Medicine	OH
TRENT J RAHE	Nurse Practitioner	OH
DR. ANTHONY IAN NUNEZ (M.D.)	-	FL
NORMAN OTIS MOSER (D.O.)	Nephrology, Internal Medicine	OH
DR. ELIZABETH MYER (D.O.)	-	OH
TERESA MARIE MILLER (CNP)	Nurse Practitioner	OH
KATELYN ANN LEOPOLD (M.D.)	Family Practice	OH

Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?

In the U.S., Unknown Individual is identified by NPI 1659365740.

What should I verify if Unknown Individual is listed inactive?

If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.

How should patients interpret Unknown Individual's specialty?

The extract shows Critical Care Medicine (Internal Medicine) Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.

Which community is linked to Unknown Individual?

Unknown Individual shows a connection to Lima, Ohio in registry-derived data.

What is the difference between NPI and a medical license?

An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.