Unknown Individual – Anesthesiology Physician, NPI 1487652673

Unknown Individual is a healthcare provider. based in Allentown, Pennsylvania. specializing in Anesthesiology Physician. They hold a License No. MD073084L (PA). The NPI Number for Unknown Individual is 1487652673

Main info

Organization
Inactive
37 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1487652673
Phone
(610) 776-4991
Address
421 CHEW ST
Deactivation Date
21 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5708885858
Graduation Year
1989 (37 years ago)
PAC ID
1355305863
Group Practice PAC ID
6002728656
Professional Enrollment ID
I20100126000114

Contacts

Secure Messaging
skansara161354@direct-guthrie.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness85
Years active:0State licenses:3Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • Chew Street, Jordan Heights, Allentown, Lehigh County, Pennsylvania, 18104, United States

    ALLENTOWN, PA 181023406

    Phone: (610) 776-4991

    Fax: (703) 563-6256

    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)

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 18102)

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Provider's Procedures

Unknown Individual performs procedures in Anesthesiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYPA00142Anesthesia for lens surgery1312
ANESTHESIOLOGYPA00790Anesthesia for procedure in upper abdomen including use of an endoscope1111

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: 6002728656View full group profile
NameSpecialtyState
-NY
Diagnostic RadiologyMO
Diagnostic RadiologyKY
Diagnostic RadiologyMA
Nurse PractitionerPA
-NY
Nurse PractitionerPA
Registered Dietitian Or Nutrition ProfessionalPA
Gastroenterology, Internal MedicinePA
-PA

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 1487652673 in the public NPI dataset.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Allentown, Pennsylvania as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.