Unknown Individual – Internal Medicine Physician, NPI 1750477436

Unknown Individual is a healthcare provider. based in Fountainville, Pennsylvania. specializing in Internal Medicine Physician. They hold a License No. MD044502L (PA). The NPI Number for Unknown Individual is 1750477436

Main info

Organization
Inactive
38 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1750477436
Phone
(215) 230-8380
Address
5039 SWAMP ROAD
Deactivation Date
24 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2152308380
Graduation Year
1988 (38 years ago)
PAC ID
9032233366
Group Practice PAC ID
8224018569
Professional Enrollment ID
I20100824000423
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

  • Swamp Road, Fountainville, New Britain Township, Bucks County, Pennsylvania, 18923, United States

    SUITE 401

    FOUNTAINVILLE, PA 189239667

    Phone: (215) 230-8380

    Fax: (215) 230-8370

    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 18923)

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Provider's Procedures

Unknown Individual performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEPA81002Urinalysis, manual test2422
INTERNAL MEDICINEPA90670Pneumococcal vaccine for injection into muscle3535

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: 8224018569View full group profile
NameSpecialtyState
Family PracticePA
Nurse PractitionerPA
Internal MedicinePA
Nurse PractitionerPA
Internal MedicinePA
Nurse PractitionerPA
-PA

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1750477436 when you need to reference Unknown Individual in forms, claims, or directories.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Fountainville, Pennsylvania for Unknown Individual; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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