Unknown Individual – Hematology & Oncology Physician, NPI 1386744563

Unknown Individual is a healthcare provider. based in Du bois, Pennsylvania. specializing in Hematology & Oncology Physician. They hold a License No. OS007716L (PA). The NPI Number for Unknown Individual is 1386744563

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1386744563
Phone
(814) 375-3535
Address
PO BOX 447
Deactivation Date
31 March 2022

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
8143753800
Graduation Year
1987 (39 years ago)
PAC ID
0941309157
Group Practice PAC ID
5890689715
Professional Enrollment ID
I20101004001413
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

  • PO BOX 447

    100 HOSPITAL AVE

    DU BOIS, PA 158010447

    Phone: (814) 375-3535

    Fax: (814) 375-3563

    Type: Mailing

  • Du Bois, Pawnee County, Nebraska, United States

    DU BOIS, PA 158011440

    Phone: (814) 375-3535

    Fax: (814) 375-3563

    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 15801)

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Provider's Procedures

Unknown Individual performs procedures in Hematology & Oncology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
HEMATOLOGY/ONCOLOGYPA96367Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour16850
HEMATOLOGY/ONCOLOGYPA96375Injection of different drug or substance into a vein for therapy, diagnosis, or prevention7138
HEMATOLOGY/ONCOLOGYPA96415Infusion of chemotherapy into a vein4518

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: 5890689715View full group profile
NameSpecialtyState
Physician AssistantPA
-PA
-PA
-PA
Internal MedicineMD
Nurse PractitionerPA
-PA
Diagnostic RadiologyTX
Physician AssistantPA
Internal MedicinePA

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1386744563 — the number used across U.S. healthcare to identify this provider.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Du Bois, Pennsylvania as the reference point for Unknown Individual, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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