Unknown Individual – Internal Medicine Physician, NPI 1194924787

Unknown Individual is a healthcare provider. based in Clairton, Pennsylvania. specializing in Internal Medicine Physician. They hold a License No. MD016592-E (PA). The NPI Number for Unknown Individual is 1194924787

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1194924787
Phone
(412) 466-6161
Address
575 COAL VALLEY RD
Deactivation Date
6 June 2022

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1974 (52 years ago)
PAC ID
3577697895
Professional Enrollment ID
I20100823000080
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

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Provider Addresses for Unknown Individual

  • Coal Valley Road, Clairton, Allegheny County, Pennsylvania, 15045, United States

    SUITE 405

    CLAIRTON, PA 150253730

    Phone: (412) 466-6161

    Fax: (412) 466-0614

    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 15025)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1194924787 for Unknown Individual, then check state licensing separately.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Internal Medicine Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Clairton, Pennsylvania; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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