Unknown Individual – Rheumatology Physician, NPI 1730160672

Unknown Individual is a healthcare provider. based in Sandusky, Ohio. specializing in INTERNAL MEDICINE, RHEUMATOLOGY. They hold a License No. 35-068994 (OH). The NPI Number for Unknown Individual is 1730160672

Main info

Organization
Inactive
36 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1730160672
Phone
(567) 998-3900
Address
2500 W STRUB RD
Deactivation Date
26 March 2026

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5679983900
Graduation Year
1990 (36 years ago)
PAC ID
8729982186
Group Practice PAC ID
4284918632
Professional Enrollment ID
I20100326000708
Address ID
OH448705390SA2500XRDXX419
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

7,201 INTERNAL MEDICINE in OH

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Provider Addresses for Unknown Individual

  • NOMS Healthcare Sandusky, West Strub Road, Perkins Township, Erie County, Ohio, 44870, United States

    BLDG 1, SUITE B

    SANDUSKY, OH 448705390

    Phone: (567) 998-3900

    Fax: (567) 998-3899

    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 4 Open Payments records for all available years, with a total value of $288.

Total Amount is formed as General ($288) + Research ($0) + Ownership ($0) = $288.

Last reported payment date: 2024-08-28 • Largest payer in this snapshot: Janssen Biotech, Inc. ($261).

Total Amount

$288

General + Research + Ownership

Payments

4

Total payment records

General Amount

$288

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-28

Latest reported date

Top Companies

Largest payers in this snapshot

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.

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100326000708IInternal MedicineOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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
J1602Injection, golimumab, 1 mg, for intravenous use17,90021$0
J1745Injection, infliximab, excludes biosimilar, 10 mg10,17033$0
J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)7,97516$0
J0897Injection, denosumab, 1 mg3,96043$0
99213Established patient office or other outpatient visit, 20-29 minutes655424$0
View full utilization report →

Insurance plans in this area (ZIP 44870)

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Provider's Procedures

Unknown Individual performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEOH96367Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour19936
INTERNAL MEDICINEOH96415Infusion of chemotherapy into a vein45137

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: 4284918632View full group profile
NameSpecialtyState
-OH
Nurse PractitionerOH
Nurse PractitionerOH
Internal Medicine, RheumatologyOH

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1730160672.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Rheumatology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Sandusky, Ohio for Unknown Individual; download NPPES for the complete set.
What if Sandusky, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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