Unknown Individual – Anesthesiology Physician, NPI 1225028871

Unknown Individual is a healthcare provider. based in Allentown, Pennsylvania. specializing in Anesthesiology Physician. They hold a License No. OS008914L (PA). The NPI Number for Unknown Individual is 1225028871

Main info

Organization
Inactive
32 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1225028871
Phone
(484) 866-9583
Address
4905 W TILGHMAN ST
Deactivation Date
21 October 2023

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
6104028000
Graduation Year
1994 (32 years ago)
PAC ID
3971405689
Group Practice PAC ID
5890058861
Professional Enrollment ID
I20040123000107
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

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Provider Addresses for Unknown Individual

  • Tilghman Street, Center City, Allentown, Lehigh County, Pennsylvania, 18102, United States

    SUITE 250

    ALLENTOWN, PA 181049130

    Phone: (484) 866-9583

    Fax: (610) 366-1147

    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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00910Anesthesia for other procedure on urinary system through urethra1818$0
00840Anesthesia for other procedure on lower abdomen1717$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1414$0
00811Anesthesia for other procedure on large bowel using an endoscope1313$0
00918Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 18104)

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Provider's Procedures

Unknown Individual performs procedures in Anesthesiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYPA00142Anesthesia for lens surgery2421
ANESTHESIOLOGYPA01402Anesthesia for open or endoscopic total knee joint replacement4343
ANESTHESIOLOGYPA31500Emergent insertion of breathing tube into windpipe cartilage using an endoscope1616
ANESTHESIOLOGYPA76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle5353

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: 5890058861View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YPA
-TN
-VA
A N E S T H E S I O L O G YPA
-PA
A N E S T H E S I O L O G YPA
A N E S T H E S I O L O G YPA
A N E S T H E S I O L O G YMD
-VA
A N E S T H E S I O L O G YPA

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1225028871 for Unknown Individual, then check state licensing separately.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Anesthesiology Physician 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 Allentown, Pennsylvania in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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