Unknown Individual – Allergy & Immunology Physician, NPI 1972569911

Unknown Individual is a healthcare provider. based in Mechanicsburg, Pennsylvania. specializing in Allergy & Immunology Physician. They hold a License No. MD069595L (PA). The NPI Number for Unknown Individual is 1972569911

Main info

Organization
Inactive
28 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1972569911
Phone
(717) 791-2640
Address
1700 BENT CREEK BLVD STE 210
Deactivation Date
5 February 2026

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7172437540
Graduation Year
1998 (28 years ago)
PAC ID
5991721110
Group Practice PAC ID
5193702785
Professional Enrollment ID
I20051018000243
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

Provider Addresses for Unknown Individual

  • 1700 BENT CREEK BLVD STE 210

    MECHANICSBURG, PA 170501870

    Phone: (717) 791-2640

    Fax: (717) 791-2646

    Type: Mailing

  • 220, Wilson Street, Carlisle, Cumberland County, Pennsylvania, 17013, United States

    SUITE 200

    CARLISLE, PA 170133697

    Phone: (717) 243-7540

    Fax: (717) 243-9968

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 454 Open Payments records for all available years, with a total value of $70,707.

Total Amount is formed as General ($70,707) + Research ($0) + Ownership ($0) = $70,707.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($64,831).

Total Amount

$70,707

General + Research + Ownership

Payments

454

Total payment records

General Amount

$70,707

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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
J2357Injection, omalizumab, 5 mg8,02518$0
95004Test for allergy using allergenic extract1,83637$0
95165Professional service for preparation and provision of 1 or more antigens95236$0
95117Professional service for multiple injections of allergen35452$0
96372Injection of drug or substance under skin or into muscle34927$0
View full utilization report →

Insurance plans in this area (ZIP 17050)

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Provider's Procedures

Unknown Individual performs procedures in Allergy & Immunology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ALLERGY/IMMUNOLOGYPA95004Injection of allergenic extracts into skin, accessed through the skin173936
ALLERGY/IMMUNOLOGYPA95117Injection of incremental dosages of allergen, 2 or more injections29131

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: 5193702785View full group profile
NameSpecialtyState
A L L E R G Y/ I M M U N O L O G YPA
Nurse PractitionerPA
A L L E R G Y/ I M M U N O L O G YPA

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1972569911.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Allergy & Immunology Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Pennsylvania?
You will see Mechanicsburg, Pennsylvania on file for Unknown Individual alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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