Unknown Individual – Family Medicine Physician, NPI 1437112554

Unknown Individual is a healthcare provider. based in Kennett square, Pennsylvania. specializing in Family Medicine Physician. They hold a License No. MD055788L (PA). The NPI Number for Unknown Individual is 1437112554

Main info

Organization
Inactive
65 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1437112554
Phone
(610) 444-8233
Address
830 W CYPRESS ST
Deactivation Date
19 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6104448084
Graduation Year
1961 (65 years ago)
PAC ID
8123012713
Group Practice PAC ID
4688588866
Professional Enrollment ID
I20040414001573
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

  • West Cypress Street, State & Cypress, Kennett Square, Chester County, Pennsylvania, 19348, United States

    KENNETT SQUARE, PA 193482218

    Phone: (610) 444-8233

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $57.

Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.

Last reported payment date: 2024-04-17 • Largest payer in this snapshot: Lilly USA, LLC ($57).

Total Amount

$57

General + Research + Ownership

Payments

3

Total payment records

General Amount

$57

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$57
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
99214Established patient office or other outpatient visit, 30-39 minutes12174$0
99213Established patient office or other outpatient visit, 20-29 minutes11167$0
83036Hemoglobin a1c level9448$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4545$0
G0008Administration of influenza virus vaccine3837$0
View full utilization report →

Insurance plans in this area (ZIP 19348)

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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: 4688588866View full group profile
NameSpecialtyState
-PA
-PA
P O D I A T R YNY
-DE
A N E S T H E S I O L O G YPA
Physician AssistantNJ
Physician AssistantPA
N E U R O L O G YMD
Certified Registered Nurse Anesthetist (Crna)PA
Family PracticePA

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1437112554 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Kennett Square, Pennsylvania for Unknown Individual; download NPPES for the complete set.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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