Unknown Individual – Hospitalist Physician, NPI 1285802421

Unknown Individual is a healthcare provider. based in Penn valley, Pennsylvania. specializing in Hospitalist Physician. They hold a License No. MD437530 (PA). The NPI Number for Unknown Individual is 1285802421

Main info

Organization
Inactive
21 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1285802421
Phone
(215) 829-7817
Address
1750 OAKWOOD TER
Deactivation Date
21 May 2021

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
4846221000
Graduation Year
2005 (21 years ago)
PAC ID
8123198744
Group Practice PAC ID
8527962661
Professional Enrollment ID
I20091217000445
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1750 OAKWOOD TER

    APT 12G

    PENN VALLEY, PA 190721048

    Phone: (215) 829-7817

    Fax: (215) 829-7129

    Type: Mailing

  • 800, Spruce Street, Society Hill, Philadelphia, Philadelphia County, Pennsylvania, 19109, United States

    PHILADELPHIA, PA 191076130

    Phone: (215) 829-7817

    Fax: (215) 829-7129

    Type: Location

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 19072)

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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: 8527962661View full group profile
NameSpecialtyState
-PA
-PA
E N D O C R I N O L O G YPA
Family PracticePA
Nurse PractitionerPA
Family PracticePA
E N D O C R I N O L O G YPA
P A T H O L O G YPA
Family PracticePA
P A T H O L O G YMA

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1285802421.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Hospitalist Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Penn Valley, Pennsylvania; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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