Unknown Individual – Nephrology Physician, NPI 1952392565

Unknown Individual is a healthcare provider. based in Allentown, Pennsylvania. specializing in Nephrology Physician. They hold a License No. MD009683E (PA). The NPI Number for Unknown Individual is 1952392565

Main info

Organization
Inactive
62 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1952392565
Phone
(610) 432-4529
Address
1230 S CEDAR CREST BLVD STE 301
Deactivation Date
30 October 2025

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
6104324529
Graduation Year
1964 (62 years ago)
PAC ID
0547398224
Group Practice PAC ID
9931450079
Professional Enrollment ID
I20100518000198

Contacts

Secure Messaging
jkintzel12153@direct.acumenmd.com
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

  • South Cedar Crest Boulevard, Bungalow Park, Cetronia, South Whitehall Township, Lehigh County, Pennsylvania, 18104, United States

    ALLENTOWN, PA 181036212

    Phone: (610) 432-4529

    Fax: (610) 432-2206

    Type: Mailing

  • 1230 S CEDAR CREST BLVD STES 301, 302, 304

    ALLENTOWN, PA 181036212

    Phone: (610) 432-4529

    Fax: (610) 432-2206

    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 18103)

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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: 9931450079View full group profile
NameSpecialtyState
MANDEEP SINGH SAMRA (M.D.)
Nephrology, Internal MedicinePA
VIKRAM VERMA (M.D.)
Nephrology, Internal MedicinePA
DR. MADHULIKA SHARMA (M.D.)
Nephrology, Internal MedicinePA
RICHARD A FRIEDMAN (M.D.)
-PA
MORGAN E NEEDHAM (PA-C)
-PA
DR. JANANI RANGASWAMI (MD)
-DC
DR. KRISHNA KOMANDURI (D.O)
N E P H R O L O G YPA
SURJU PATEL (MD)
Nephrology, Internal MedicinePA
PETER FUMO (M.D.)
N E P H R O L O G YPA
ROBERT CHARLES JR. SCHOEPE (D.O.)
N E P H R O L O G YPA

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1952392565 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
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 Nephrology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Allentown, Pennsylvania for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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