Unknown Individual – Internal Medicine Physician, NPI 1780681130

Unknown Individual is a healthcare provider. based in Chillicothe, Ohio. specializing in Internal Medicine Physician. They hold a License No. 35047244B (OH). The NPI Number for Unknown Individual is 1780681130

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1780681130
Phone
(740) 779-8840
Address
4439 STATE ROUTE 159 STE 150
Deactivation Date
1 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Secondary Phone
7407794700
Graduation Year
1979 (47 years ago)
PAC ID
0446289334
Group Practice PAC ID
1153456579
Professional Enrollment ID
I20060213000509

Contacts

Secure Messaging
adenainternalmedicine@adena.medicity.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 4439 STATE ROUTE 159 STE 150

    CHILLICOTHE, OH 456017833

    Phone: (740) 779-8840

    Fax: (740) 779-8849

    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)

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3936$0
View full utilization report →

Insurance plans in this area (ZIP 45601)

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Provider's Procedures

Unknown Individual performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEOH93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report537497

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: 1153456579View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OH
-OH
Physician AssistantOH
O T O L A R Y N G O L O G YOH
Certified Nurse Midwife (Cnm)OH
Family PracticeOH
Thoracic SurgeryOH
Gastroenterology, Internal MedicineOH
Physician AssistantOH
Certified Registered Nurse Anesthetist (Crna)OH

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1780681130 for Unknown Individual, then check state licensing separately.
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 Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Chillicothe, Ohio may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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