Unknown Individual – Neonatal-Perinatal Medicine Physician, NPI 1225012180

Unknown Individual is a healthcare provider. based in Springfield, Illinois. specializing in Neonatal-Perinatal Medicine Physician. They hold a License No. 17156 (NH). The NPI Number for Unknown Individual is 1225012180

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1225012180
Phone
(217) 545-7578
Address
PO BOX 19639
Deactivation Date
30 March 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO BOX 19639

    SPRINGFIELD, IL 627949639

    Phone: (217) 545-7578

    Fax: (217) 545-1884

    Type: Mailing

  • 415, North 9th Street, Springfield, Sangamon County, Illinois, 62702, United States

    SPRINGFIELD, IL 627025317

    Phone: (217) 544-6464

    Fax: (217) 757-6844

    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.

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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 62794)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1225012180 is assigned to Unknown Individual under the national enumeration system.
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 Neonatal-Perinatal Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Springfield, Illinois because that is what the record indicates for Unknown Individual.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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