Unknown Individual – Endocrinology, Diabetes & Metabolism Physician, NPI 1730167289

Unknown Individual is a healthcare provider. based in Westerville, Ohio. specializing in Endocrinology, Diabetes & Metabolism Physician. They hold a License No. 34-00-6539 (OH). The NPI Number for Unknown Individual is 1730167289

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1730167289
Phone
(614) 392-5160
Address
193 W SCHROCK RD
Deactivation Date
8 January 2026

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
6143925160
Graduation Year
1995 (31 years ago)
PAC ID
5991779498
Group Practice PAC ID
2769383785
Professional Enrollment ID
I20040820000958
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

  • 193, West Schrock Road, Westerville, Sharon, Franklin County, Ohio, 43081, United States

    WESTERVILLE, OH 430812890

    Phone: (614) 392-5160

    Fax: (614) 392-5161

    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 130 Open Payments records for all available years, with a total value of $1,928.

Total Amount is formed as General ($1,928) + Research ($0) + Ownership ($0) = $1,928.

Last reported payment date: 2024-04-09 • Largest payer in this snapshot: Mannkind Corporation ($377).

Total Amount

$1,928

General + Research + Ownership

Payments

130

Total payment records

General Amount

$1,928

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-09

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.

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
99214Established patient office or other outpatient visit, 30-39 minutes283156$0
36415Insertion of needle into vein for collection of blood sample214110$0
80053Blood test, comprehensive group of blood chemicals17195$0
84443Blood test, thyroid stimulating hormone (tsh)14176$0
83036Hemoglobin a1c level12664$0
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Insurance plans in this area (ZIP 43081)

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Provider's Procedures

Unknown Individual performs procedures in Endocrinology, Diabetes & Metabolism Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ENDOCRINOLOGYOH83036Hemoglobin A1C level4828

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: 2769383785View full group profile
NameSpecialtyState
Pediatric Medicine, Internal MedicineOH
Endocrinology, Internal MedicineOH
-OH
Internal MedicineOH
Internal MedicineOH
Family PracticeOH
Internal MedicineOH
Family PracticeOH
Internal MedicineOH
Family PracticeOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1730167289 — is the standard way to identify this listing.
Why might Unknown Individual appear inactive while still practicing?
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 Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Westerville, Ohio; more addresses can appear in NPPES.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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