Unknown Individual – Internal Medicine Physician, NPI 1104889815

Unknown Individual is a healthcare provider. based in Allentown, Pennsylvania. specializing in Internal Medicine Physician. They hold a License No. MD025371E (PA). The NPI Number for Unknown Individual is 1104889815

Main info

Organization
Inactive
46 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1104889815
Phone
(610) 776-4888
Address
450 W CHEW ST
Deactivation Date
24 April 2024

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF PENNSYLVANIA
Secondary Phone
4846190975
Graduation Year
1980 (46 years ago)
PAC ID
7315998234
Group Practice PAC ID
7618215237
Professional Enrollment ID
I20050208000385
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

  • Star Wellness Family Practice - Sigal, 450, West Chew Street, Old Allentown, Allentown, Lehigh County, Pennsylvania, 18102, United States

    STE 101

    ALLENTOWN, PA 181023434

    Phone: (610) 776-4888

    Fax: (610) 776-4895

    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 18102)

Loading plans...

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: 7618215237View full group profile
NameSpecialtyState
ELIZABETH K LAMB (MD)
O B S T E T R I C S/ G Y N E C O L O G YPA
DR. ALAN REMDE (M.D.)
Family PracticeNJ
MARIA GHETU (MD)
Family PracticePA
ROSALEE K REHRIG (DO)
Family PracticePA
JENNIFER SUSAN EPISCOPIO (MD)
O B S T E T R I C S/ G Y N E C O L O G YPA
REENA EZA BANAYAT CALIZO
Nurse PractitionerPA
PATRICIA DONOVAN (D.O.)
Internal MedicinePA
GERARD J DELMONICO (MD)
Family PracticePA
NANDHINI VEERARAGHAVAN (M.D.)
Family Practice, Sports MedicineNJ
ANGELA R ALLRED (CRNP)
Nurse PractitionerPA

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

What identifier follows Unknown Individual across health systems?
The NPI 1104889815 uniquely identifies Unknown Individual in U.S. healthcare data.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Allentown, Pennsylvania in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

DR. ARTHUR FRANCIS JR. CAPUTO (MD)

Internal Medicine Physician
212 E ARLINGTON BLVD STE E
NPI: 1750386959

JENNIFER ALLEN (M.D.)

Hospice and Palliative Medicine (Internal Medicine) Physician
American Box and Recycling, Philadelphia, Philadelphia County, Pennsylvania, United States
NPI: 1881699783

RAKESH MALHOTRA (M.D.)

Internal Medicine Physician
451 CHEW STREET, SUITE 306
NPI: 1073519666

DANIEL T VALANCIUS (MD)

Internal Medicine Physician
South Cedar Crest Boulevard, Bungalow Park, Cetronia, South Whitehall Township, Lehigh County, Pennsylvania, 18104, United States
NPI: 1447257365

ANTHONY P JR. BUONANNO (M.D.)

Internal Medicine Physician
1255 S Cedar Crest Blvd
NPI: 1609873413

MARGARET S TRETTER (D.O., F.A.C.P)

Hospitalist Physician
American Box and Recycling, Philadelphia, Philadelphia County, Pennsylvania, United States
NPI: 1477550382

EDWARD J ROSENFELD (M.D.)

Internal Medicine Physician
1 E BROAD ST STE 130
NPI: 1639177223

DON Y CHUNG (M.D.)

Hospitalist Physician
Coordinated Health, 2775, Schoenersville Road, Westgate Hills, Bethlehem, Northampton County, Pennsylvania, 18017, United States
NPI: 1477553964