Unknown Individual – Internal Medicine Physician, NPI 1760448476

Unknown Individual is a healthcare provider. based in Blue ash, Ohio. specializing in Internal Medicine Physician. They hold a License No. 35-054546 (OH). The NPI Number for Unknown Individual is 1760448476

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1760448476
Phone
(513) 686-2900
Address
4260 GLENDALE MILFORD RD
Deactivation Date
28 February 2024

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1985 (41 years ago)
PAC ID
2961305743
Professional Enrollment ID
I20070912000205
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

  • Glendale Milford Road, Kenridge, Blue Ash, Hamilton County, Ohio, 45242, United States of America

    STE 202

    BLUE ASH, OH 452423763

    Phone: (513) 686-2900

    Fax: (513) 563-1872

    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 6 Open Payments records for all available years, with a total value of $108.

Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.

Last reported payment date: 2023-12-14 • Largest payer in this snapshot: ABBVIE INC. ($96).

Total Amount

$108

General + Research + Ownership

Payments

6

Total payment records

General Amount

$108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$96
Lilly USA, LLC$13
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 minutes8053$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4848$0
99215Established patient office or other outpatient visit, 40-54 minutes2723$0
99213Established patient office or other outpatient visit, 20-29 minutes2219$0
36415Insertion of needle into vein for collection of blood sample1813$0
View full utilization report →

Insurance plans in this area (ZIP 45242)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1760448476 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Blue Ash, Ohio for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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