Unknown Individual – Family Medicine Physician, NPI 1912984170

Unknown Individual is a healthcare provider. based in Mc murray, Pennsylvania. specializing in Family Medicine Physician. They hold a License No. OS003395L (PA). The NPI Number for Unknown Individual is 1912984170

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1912984170
Phone
(724) 941-5588
Address
455 VALLEYBROOK RD
Deactivation Date
24 July 2025

Doctor Profile

Medical School Name
KANSAS CITY COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
7249415588
Graduation Year
1974 (52 years ago)
PAC ID
0648212191
Group Practice PAC ID
6709917487
Professional Enrollment ID
I20050525000706

Contacts

Secure Messaging
vpetraglia134734@direct.ahn.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 455 VALLEYBROOK RD

    SUITE 300

    MC MURRAY, PA 153173367

    Phone: (724) 941-5588

    Fax: (724) 941-1458

    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 331 Open Payments records for all available years, with a total value of $5,618.

Total Amount is formed as General ($5,618) + Research ($0) + Ownership ($0) = $5,618.

Last reported payment date: 2024-08-15 • Largest payer in this snapshot: ABBVIE INC. ($1,473).

Total Amount

$5,618

General + Research + Ownership

Payments

331

Total payment records

General Amount

$5,618

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-15

Latest reported date

Top Companies

Largest payers in this snapshot

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 minutes167123$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit137137$0
99213Established patient office or other outpatient visit, 20-29 minutes11588$0
96372Injection of drug or substance under skin or into muscle3622$0
J1040Injection, methylprednisolone acetate, 80 mg2722$0
View full utilization report →

Insurance plans in this area (ZIP 15317)

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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: 6709917487View full group profile
NameSpecialtyState
Pulmonary DiseasePA
Family PracticePA
Nurse PractitionerPA
Nurse PractitionerPA

Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1912984170 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Mc Murray, Pennsylvania as the reference point for Unknown Individual, then confirm.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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