Unknown Individual – Family Medicine Physician, NPI 1427055490

Unknown Individual is a healthcare provider. based in Wyomissing, Pennsylvania. specializing in Family Medicine Physician. They hold a License No. OS006209L (PA). The NPI Number for Unknown Individual is 1427055490

Main info

Organization
Inactive
40 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1427055490
Phone
(610) 372-8044
Address
50 COMMERCE DR
Deactivation Date
16 October 2024

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
-
Graduation Year
1986 (40 years ago)
PAC ID
0840325106
Group Practice PAC ID
7618889213
Professional Enrollment ID
I20100312000131
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

  • Commerce Drive, Wyomissing, Berks County, Pennsylvania, 19610, United States

    WYOMISSING, PA 196103335

    Phone: (610) 372-8044

    Fax: (484) 334-7026

    Type: Mailing

  • Perkiomen Avenue, Reading, Berks County, Pennsylvania, 19606, United States

    READING, PA 196062714

    Phone: (610) 779-5600

    Fax: (610) 779-9621

    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 19610)

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Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEPA90670Pneumococcal vaccine for injection into muscle3434

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: 7618889213View full group profile
NameSpecialtyState
H O S P I T A L I S TPA
Certified Registered Nurse Anesthetist (Crna)PA
General Surgery, Critical Care (Intensivists)PA
-PA
-PA
N E U R O L O G YPA
Hospitalist, Internal MedicinePA
-PA
General SurgeryMO
Certified Registered Nurse Anesthetist (Crna)PA

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1427055490 — is the standard way to identify this listing.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Wyomissing, Pennsylvania may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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