Unknown Individual – Emergency Medicine Physician, NPI 1861478778

Unknown Individual is a healthcare provider. based in Hudson, Ohio. specializing in Emergency Medicine Physician. They hold a License No. 34007164G (OH). The NPI Number for Unknown Individual is 1861478778

Main info

Organization
Inactive
28 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1861478778
Phone
(330) 656-9304
Address
5700 DARROW RD
Deactivation Date
15 January 2026

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9374982311
Graduation Year
1998 (28 years ago)
PAC ID
4789656075
Group Practice PAC ID
6103102959
Professional Enrollment ID
I20040807000300
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

Provider Addresses for Unknown Individual

  • 5700, Darrow Road, Hudson, Summit County, Ohio, 44236, United States

    SUITE 106

    HUDSON, OH 442365021

    Phone: (330) 656-9304

    Fax: (330) 656-5901

    Type: Mailing

  • 600 W Main St

    Troy, OH 453733384

    Phone: (937) 980-7010

    Type: Location

  • 1 Kettering Way

    Piqua, OH 453564109

    Phone: (937) 916-2625

    Type: Location

  • University Hospitals Richmond Medical Center, 27100, Chardon Road, Cleveland, Cuyahoga County, Ohio, 44143, United States

    RICHMOND HEIGHTS, OH 441431116

    Phone: (440) 585-6500

    Fax: (330) 656-5901

    Type: Location

  • 3131 NEWMARK DR STE 220

    MIAMISBURG, OH 453425400

    Phone: (937) 438-8910

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $89.

Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.

Last reported payment date: 2024-09-06 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($55).

Total Amount

$89

General + Research + Ownership

Payments

5

Total payment records

General Amount

$89

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-06

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2826$0
99285Emergency department visit with high level of medical decision making2626$0
99284Emergency department visit with moderate level of medical decision making2323$0
99283Emergency department visit with low level of medical decision making1616$0
View full utilization report →

Insurance plans in this area (ZIP 44236)

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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: 6103102959View full group profile
NameSpecialtyState
-OH

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1861478778.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
How should patients interpret Unknown Individual's specialty?
The extract shows Emergency Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Hudson, Ohio?
For routing, start with Hudson, Ohio for Unknown Individual, then verify phone and hours locally.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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