Unknown Individual – Emergency Medicine Physician, NPI 1295799427

Unknown Individual is a healthcare provider. based in Pittsburgh, Pennsylvania. specializing in Emergency Medicine Physician. They hold a License No. MD417965 (PA). The NPI Number for Unknown Individual is 1295799427

Main info

Organization
Inactive
30 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1295799427
Phone
Not provided
Address
PO BOX 640631
Deactivation Date
15 May 2025

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
8146233550
Graduation Year
1996 (30 years ago)
PAC ID
7214836535
Group Practice PAC ID
6103811971
Professional Enrollment ID
I20040106000583

Contacts

Secure Messaging
vinod.k.chettur@upmcdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • PO BOX 640631

    C/O EMERGENCY MEDICINE OF WASHINGTON HOSPITAL

    PITTSBURGH, PA 152640631

    Phone:

    Type: Mailing

  • 334 Main St

    Dickson City, PA 185191668

    Phone: (865) 500-1668

    Type: Location

  • Washington Hospital, 155, Wilson Avenue, Tylerdale, Washington, Washington County, Pennsylvania, 15301, United States

    THE WASHINGTON HOSPITAL

    WASHINGTON, PA 153013336

    Phone: (724) 223-3342

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $16,500.

Total Amount is formed as General ($16,500) + Research ($0) + Ownership ($0) = $16,500.

Last reported payment date: 2024-02-14 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($16,500).

Total Amount

$16,500

General + Research + Ownership

Payments

9

Total payment records

General Amount

$16,500

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-14

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
99285Emergency department visit with high level of medical decision making252242$0
99284Emergency department visit with moderate level of medical decision making138132$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3030$0
99283Emergency department visit with low level of medical decision making2626$0
View full utilization report →

Insurance plans in this area (ZIP 15264)

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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: 6103811971View full group profile
NameSpecialtyState
Emergency MedicinePA
Nurse PractitionerPA
Emergency MedicinePA
Physician AssistantPA
-PA
Emergency MedicineVA
Emergency MedicinePA
Emergency MedicinePA
Emergency MedicinePA
Emergency MedicinePA

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1295799427 in the public NPI dataset.
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?
Emergency 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 Pittsburgh, Pennsylvania; more addresses can appear in NPPES.
Why does Unknown Individual have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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