Unknown Individual – Allergy & Immunology (Internal Medicine) Physician, NPI 1053416008

Unknown Individual is a healthcare provider. based in Phoenixville, Pennsylvania. specializing in Allergy & Immunology (Internal Medicine) Physician. They hold a License No. MD007476E (PA). The NPI Number for Unknown Individual is 1053416008

Main info

Organization
Inactive
63 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1053416008
Phone
(610) 933-8000
Address
PO BOX 525
Deactivation Date
18 September 2025

Doctor Profile

Medical School Name
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Secondary Phone
6109338484
Graduation Year
1963 (63 years ago)
PAC ID
0143496141
Group Practice PAC ID
8123929114
Professional Enrollment ID
I20111221000590
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • PO BOX 525

    PHOENIXVILLE, PA 194600525

    Phone: (610) 933-8000

    Fax: (610) 935-8759

    Type: Mailing

  • 826 MAIN STREET

    SUITE 100

    PHOENIXVILLE, PA 194604478

    Phone: (610) 933-8484

    Fax: (610) 917-0320

    Type: Mailing

  • 824, South Main Street, Phoenixville, Chester County, Pennsylvania, 19460, United States

    SUITE 100

    PHOENIXVILLE, PA 194604478

    Phone: (610) 933-8484

    Fax: (610) 935-8759

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $112.

Total Amount is formed as General ($112) + Research ($0) + Ownership ($0) = $112.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Amgen Inc. ($112).

Total Amount

$112

General + Research + Ownership

Payments

1

Total payment records

General Amount

$112

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Amgen Inc.$112
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
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit375375$0
99214Established patient office or other outpatient visit, 30-39 minutes330222$0
99213Established patient office or other outpatient visit, 20-29 minutes7962$0
G0008Administration of influenza virus vaccine7373$0
90662Influenza vaccine split virus, preservative free6868$0
View full utilization report →

Insurance plans in this area (ZIP 19460)

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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: 8123929114View 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 1053416008.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Allergy & Immunology (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is Unknown Individual registered?
Use Phoenixville, Pennsylvania as the headline location for Unknown Individual here.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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