Unknown Individual – Foot Surgery Podiatrist, NPI 1225035637

Unknown Individual is a healthcare provider. based in Drexel hill, Pennsylvania. specializing in Foot Surgery Podiatrist. They hold a License No. SC002807R (PA). The NPI Number for Unknown Individual is 1225035637

Main info

Organization
Inactive
53 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1225035637
Phone
(610) 626-2500
Address
4224 FERNE BLVD
Deactivation Date
12 July 2022

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
6106262500
Graduation Year
1973 (53 years ago)
PAC ID
5799817003
Professional Enrollment ID
I20100722000569
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

  • Ferne Boulevard, Garrettford, Springfield, Upper Darby, Delaware County, Pennsylvania, 19026, United States

    DREXEL HILL, PA 190263814

    Phone: (610) 626-2500

    Fax: (610) 626-5045

    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.

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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 19026)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1225035637 as the unique 10-digit identifier.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Foot Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Drexel Hill?
Unknown Individual currently maps to Drexel Hill, Pennsylvania in this extract.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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