Unknown Individual – Internal Medicine Physician, NPI 1952307514

Internal Medicine Physician

Unknown Individual is a healthcare provider. based in Cleveland, Ohio. specializing in Internal Medicine Physician. They hold a License No. 35052020P (OH). The NPI Number for Unknown Individual is 1952307514

Main info

Organization

Inactive

53 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1952307514

Phone

(216) 371-3181

Address

14100 CEDAR RD

Deactivation Date

29 April 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

4406469955

Graduation Year

1973 (53 years ago)

PAC ID

4587747654

Group Practice PAC ID

3072417534

Professional Enrollment ID

I20080213000001

Contacts

Secure Messaging

hoonpark@uhps.allscriptsdirect.net

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience24

Completeness85

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

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Provider Addresses for Unknown Individual

Cedar Road, Ormesby, Middlesbrough, Redcar and Cleveland, North East England, England, TS7 9DL, United Kingdom
SUITE 380
CLEVELAND, OH 441213212
Phone: (216) 371-3181
Fax: (216) 371-3126
Type: Mailing
730 SOM CENTER RD STE 190
MAYFIELD VILLAGE, OH 441432362
Phone: (440) 646-9955
Fax: (440) 646-9929
Type: Mailing

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 44121)

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Provider's Procedures

Unknown Individual performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
INTERNAL MEDICINE	OH	90670	Pneumococcal vaccine for injection into muscle	37	37

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: 3072417534View full group profile

Name	Specialty	State
KAITLIN WORKMAN (PA-C)	Physician Assistant	OH
DR. ROBERT B CAMERON (M.D.)	-	OH
PHILIP H KEYSER (MD FACC)	-	OH
STEVEN H SUESS	-	IL
LAURA PESETSKY (CNP)	-	OH
Unknown Individual	-	OH
DR. JENNY K SAWYER (M.D.)	-	OH
DR. SAIRA BANU ISMAIL (MD)	-	OH
DR. BRYAN J PACE (D.O.)	Cardiovascular Disease (Cardiology), Internal Medicine	NC
MEERA PATEL (FNP-C)	Nurse Practitioner	OH

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?

The NPI 1952307514 uniquely identifies Unknown Individual in U.S. healthcare data.

What should I verify if Unknown Individual is listed inactive?

If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.

What geographic area is tied to Unknown Individual?

Unknown Individual is associated with Cleveland, Ohio in the same public data insurers reference.

Can I export Unknown Individual's record?

You can download the official NPPES record; we summarize key fields for readability.