Unknown Individual – Hematology & Oncology Physician, NPI 1104829928

Unknown Individual is a healthcare provider. based in Allentown, Pennsylvania. specializing in Hematology & Oncology Physician. They hold a License No. MD021909-E (PA). The NPI Number for Unknown Individual is 1104829928

Main info

Organization
Inactive
50 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1104829928
Phone
(610) 821-2700
Address
1240 S CEDAR CREST BLVD
Deactivation Date
23 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6104029050
Graduation Year
1976 (50 years ago)
PAC ID
6800863242
Group Practice PAC ID
3072425123
Professional Enrollment ID
I20100723000201
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

Loading map...

Provider Addresses for Unknown Individual

  • South Cedar Crest Boulevard, Bungalow Park, Cetronia, South Whitehall Township, Lehigh County, Pennsylvania, 18104, United States of America

    STE 305

    ALLENTOWN, PA 181036218

    Phone: (610) 821-2700

    Fax: (610) 821-5431

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 18103)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Hematology & Oncology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
HEMATOLOGY/ONCOLOGYPA96375Injection of different drug or substance into a vein for therapy, diagnosis, or prevention25247
HEMATOLOGY/ONCOLOGYPA96415Infusion of chemotherapy into a vein11219

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: 3072425123View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check Unknown Individual using NPI 1104829928?
NPI 1104829928 belongs to Unknown Individual; compare other details if you need extra assurance.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is Unknown Individual registered?
Use Allentown, Pennsylvania as the headline location for Unknown Individual here.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

Similar Providers

DR. BASIL SEBRI AHMED (M.D.)

Hematology & Oncology Physician
South Cedar Crest Boulevard, Bungalow Park, Cetronia, South Whitehall Township, Lehigh County, Pennsylvania, 18104, United States
NPI: 1952304610

DR. DAN POPESCU (M.D.)

Hematology & Oncology Physician
American Box and Recycling, Philadelphia, Philadelphia County, Pennsylvania, United States
NPI: 1932102696

AMIR AHMED TOOR (MD)

Hematology & Oncology Physician
Richmond Drive, Middletown, New Castle County, Delaware, United States
NPI: 1902883176

SACRED HEART HEALTHCARE SYSTEM

Family Medicine Physician
St. Luke’s Sacred Heart Campus, 421, West Chew Street, Center City, Allentown, Lehigh County, Pennsylvania, 18102, United States
NPI: 1740241421

TARA MORRISON (MD)

Neurology Physician
American Box and Recycling, Philadelphia, Philadelphia County, Pennsylvania, United States
NPI: 1144286501

SAVITRI SKANDAN (MD)

Hematology & Oncology Physician
American Box and Recycling, Philadelphia, Philadelphia County, Pennsylvania, United States
NPI: 1285684977

GREGORY HARPER (MD)

Hematology & Oncology Physician
American Box and Recycling, Philadelphia, Philadelphia County, Pennsylvania, United States
NPI: 1104877232

KATHERINE HARRIS (MD)

Hematology & Oncology Physician
American Box and Recycling, Philadelphia, Philadelphia County, Pennsylvania, United States
NPI: 1902857030

SURESH G NAIR (MD)

Hematology & Oncology Physician
American Box and Recycling, Philadelphia, Philadelphia County, Pennsylvania, United States
NPI: 1669423711