Unknown Individual – Internal Medicine Physician, NPI 1770532806

Unknown Individual is a healthcare provider. based in Hershey, Pennsylvania. specializing in Internal Medicine Physician. They hold a License No. MD027317E (PA). The NPI Number for Unknown Individual is 1770532806

Main info

Organization
Inactive
46 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1770532806
Phone
(800) 243-1455
Address
500 University Dr
Deactivation Date
26 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
7175318202
Graduation Year
1980 (46 years ago)
PAC ID
9335335116
Group Practice PAC ID
3870405483
Professional Enrollment ID
I20101118000848
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 500 University Dr

    Hershey, PA 170332360

    Phone: (800) 243-1455

    Type: Location

  • PO BOX 858

    MC A410

    HERSHEY, PA 170330858

    Phone: (800) 243-1455

    Type: Mailing

  • 35 Hope Drive, 35, Hope Drive, Hockersville, Hershey, Derry Township, Dauphin County, Pennsylvania, 17036, United States

    STE 104

    HERSHEY, PA 170332086

    Phone: (800) 243-1455

    Fax: (717) 531-0151

    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 17033)

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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: 3870405483View full group profile
NameSpecialtyState
DR. HIROKO SHIKE (MD)
P A T H O L O G YPA
TARIK Z ALI (M.D.)
Vascular SurgeryMD
JUI PANDYA (M.D.)
O P H T H A L M O L O G YPA
NTIEGE NGWANE (CRNA)
-PA
ASHLEY N DRAPER (CRNP)
Nurse PractitionerPA
MEGHAN M DEERMAN (CRNP)
-FL
THYAGARAJAN SUBRAMANIAN (MD)
-PA
REBECCA PHAETON (MD)
-PA
MICHAEL R D'AMBROSIO (DO)
Emergency MedicinePA
DAVID M FEHR (MD)
Critical Care (Intensivists)PA

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1770532806 if you need a stable reference for Unknown Individual.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Pennsylvania?
You will see Hershey, Pennsylvania on file for Unknown Individual alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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