Unknown Individual – Family Medicine Physician, NPI 1942290242

Unknown Individual is a healthcare provider. based in Barberton, Ohio. specializing in Family Medicine Physician. They hold a License No. 34-003783 (OH). The NPI Number for Unknown Individual is 1942290242

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1942290242
Phone
(330) 745-3151
Address
101 5TH STREET SE
Deactivation Date
18 February 2022

Doctor Profile

Medical School Name
R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Secondary Phone
3307453151
Graduation Year
1983 (43 years ago)
PAC ID
5395725006
Group Practice PAC ID
1759454812
Professional Enrollment ID
I20060105000385
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience18
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 101, 5th Street Southeast, Austin Estates, Barberton, Summit County, Ohio, 44203, United States

    SUITE G

    BARBERTON, OH 442034225

    Phone: (330) 745-3151

    Fax: (330) 745-9984

    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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44203)

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Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOH85610Blood test, clotting time12613

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: 1759454812View full group profile
NameSpecialtyState
Family PracticeOH

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1942290242 — the number used across U.S. healthcare to identify this provider.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Ohio is Unknown Individual registered?
Use Barberton, Ohio as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.