Unknown Individual – Hospitalist Physician, NPI 1225001795

Unknown Individual is a healthcare provider. based in Beloit, Wisconsin. specializing in Hospitalist Physician. They hold a License No. 036-116484 (IL). The NPI Number for Unknown Individual is 1225001795

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1225001795
Phone
(608) 364-2200
Address
1905 E. HUEBBE PARKWAY
Deactivation Date
28 September 2021

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
6083645281
Graduation Year
1977 (49 years ago)
PAC ID
9931006632
Group Practice PAC ID
8224947858
Professional Enrollment ID
I20081212000622
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1905, Huebbe Parkway, City of Beloit, Rock County, Wisconsin, 53511, United States

    BELOIT HEALTH SYSTEM INC.

    BELOIT, WI 535111842

    Phone: (608) 364-2200

    Fax: (608) 363-7395

    Type: Mailing

  • Beloit Memorial Hospital, 1969, West Hart Road, City of Beloit, Rock County, Wisconsin, 53511, United States

    BELOIT MEMORIAL HOSPITAL

    BELOIT, WI 535112230

    Phone: (608) 363-5971

    Fax: (608) 363-5737

    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 53511)

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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: 8224947858View full group profile
NameSpecialtyState
-WI
Family PracticeWI
Nurse PractitionerWI
Nurse PractitionerWI
Family PracticeWI
Family PracticeWI
Family PracticeWI
Nurse PractitionerWI
Infectious DiseaseWI
Internal MedicineNY

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1225001795; it appears in the national provider directory.
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 Hospitalist Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Beloit, Wisconsin for Unknown Individual; expand the address list for detail.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1225001795. Always confirm identity and privileges with the practice and licensing boards.

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