Unknown Individual – Electrodiagnostic Medicine Physician, NPI 1427021419

Unknown Individual is a healthcare provider. based in Mechanicsburg, Pennsylvania. specializing in Electrodiagnostic Medicine Physician. They hold a License No. MD016523E (PA). The NPI Number for Unknown Individual is 1427021419

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1427021419
Phone
(717) 791-2520
Address
2005 Technology Pkwy Ste 400
Deactivation Date
6 October 2023

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
8143333929
Graduation Year
1974 (52 years ago)
PAC ID
0749478568
Group Practice PAC ID
4284535790
Professional Enrollment ID
I20101221000638
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 2005 Technology Pkwy Ste 400

    Mechanicsburg, PA 170509413

    Phone: (717) 791-2520

    Type: Location

  • UPMC Presbyterian Hospital, 200, Lothrop Street, West Oakland, Pittsburgh, Allegheny County, Pennsylvania, 15213, United States

    SUITE 9055 FORBES TOWER

    PITTSBURGH, PA 152132536

    Phone: (412) 647-3087

    Type: Mailing

  • 3471, Fifth Avenue, North Oakland, Pittsburgh, Allegheny County, Pennsylvania, 15213, United States

    SUITE 810 LKB

    PITTSBURGH, PA 152133215

    Phone: (412) 692-4920

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-03-02 • Largest payer in this snapshot: ITI, Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ITI, Inc.$20
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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 17050)

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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: 4284535790View full group profile
NameSpecialtyState
Clinical PsychologistPA
Clinical PsychologistPA
Nurse PractitionerPA
Family PracticePA
D E R M A T O L O G YPA
Diagnostic RadiologyPA
Medical Oncology, Hematology, Internal MedicinePA
H E M A T O L O G YPA
Nurse PractitionerPA
Clinical Social WorkerPA

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1427021419 — is the standard way to identify this listing.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Electrodiagnostic Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Mechanicsburg, Pennsylvania as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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