Unknown Individual – Pediatric Adolescent Medicine Physician, NPI 1942264205

Pediatric Adolescent Medicine Physician

Unknown Individual is a healthcare provider. based in Wilmington, Delaware. specializing in Pediatric Adolescent Medicine Physician. They hold a License No. C10000688 (DE). The NPI Number for Unknown Individual is 1942264205

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1942264205

Phone

(302) 239-7755

Address

5500 SKYLINE DR

Deactivation Date

4 December 2025

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

5500 SKYLINE DR
WILMINGTON, DE 198081772
Phone: (302) 239-7755
Fax: (302) 234-2735
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)

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.

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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 19808)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?

Use NPI 1942264205 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.

What does Unknown Individual treat or focus on?

Patients typically see Unknown Individual under the specialty Pediatric Adolescent Medicine Physician. Clinical services aligned with this taxonomy classification.

Where is Unknown Individual's primary listing?

We display Wilmington, Delaware because that is what the record indicates for Unknown Individual.

How can I contact Unknown Individual?

Phone or fax may appear on the official NPI record when supplied — verify before relying on them.