Unknown Individual – Pulmonary Disease Physician, NPI 1780676981

Unknown Individual is a healthcare provider. based in Van wert, Ohio. specializing in Pulmonary Disease Physician. They hold a License No. 01074233 (IN). The NPI Number for Unknown Individual is 1780676981

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1780676981
Phone
(419) 232-5279
Address
1250 S WASHINGTON ST
Deactivation Date
30 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4192382390
Graduation Year
1978 (48 years ago)
PAC ID
0042112005
Group Practice PAC ID
5799707402
Professional Enrollment ID
I20050713000550
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Van Wert County Hospital, 1250, South Washington Street, Van Wert, Van Wert County, Ohio, 45891, United States

    VAN WERT, OH 458912551

    Phone: (419) 232-5279

    Fax: (419) 238-0692

    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 11 Open Payments records for all available years, with a total value of $176.

Total Amount is formed as General ($176) + Research ($0) + Ownership ($0) = $176.

Last reported payment date: 2024-08-09 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($35).

Total Amount

$176

General + Research + Ownership

Payments

11

Total payment records

General Amount

$176

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-09

Latest reported date

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
99215Established patient office or other outpatient visit, 40-54 minutes176102$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4919$0
94060Test to measure expiratory airflow and volume changes before and after medication administration2323$0
94726Test to determine lung volumes using sensors2323$0
94729Test to examine how well the lungs exchange gases2323$0
View full utilization report →

Insurance plans in this area (ZIP 45891)

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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: 5799707402View full group profile

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1780676981.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Where in Ohio is Unknown Individual registered?
Use Van Wert, Ohio as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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