Unknown Individual – Foot & Ankle Surgery Podiatrist, NPI 1215009899

Unknown Individual is a healthcare provider. based in East norriton, Pennsylvania. specializing in Foot & Ankle Surgery Podiatrist. They hold a License No. SC002345-L (PA). The NPI Number for Unknown Individual is 1215009899

Main info

Organization
Inactive
45 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1215009899
Phone
(610) 630-4414
Address
716 W GERMANTOWN PIKE
Deactivation Date
27 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6103530800
Graduation Year
1981 (45 years ago)
PAC ID
8820985351
Group Practice PAC ID
5890681092
Professional Enrollment ID
I20040301000619
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 716, West Germantown Pike, East Norriton, East Norriton Township, Montgomery County, Pennsylvania, 19403, United States

    EAST NORRITON, PA 194034255

    Phone: (610) 630-4414

    Fax: (610) 630-8818

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $75.

Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.

Last reported payment date: 2023-07-19 • Largest payer in this snapshot: Musculoskeletal Transplant Foundation Inc. ($45).

Total Amount

$75

General + Research + Ownership

Payments

2

Total payment records

General Amount

$75

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-19

Latest reported date

Top Companies

Largest payers in this snapshot

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
99213Established patient office or other outpatient visit, 20-29 minutes692271$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg19358$0
73630X-ray of foot, minimum of 3 views10270$0
99203New patient office or other outpatient visit, 30-44 minutes7171$0
99212Established patient office or other outpatient visit, 10-19 minutes4538$0
View full utilization report →

Insurance plans in this area (ZIP 19403)

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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: 5890681092View full group profile
NameSpecialtyState
Physical Therapist In Private PracticePA
Diagnostic RadiologyIN
-PA
-PA
Physical Therapist In Private PracticePA
Orthopedic SurgeryPA
Occupational Therapist In Private PracticeME
-PA
-PA
-PA

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1215009899.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's primary classification?
Foot & Ankle Surgery Podiatrist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to East Norriton, Pennsylvania in the data we show; additional addresses may exist on the full record.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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