Unknown Individual – Family Medicine Physician, NPI 1265431373

Unknown Individual is a healthcare provider. based in O fallon, Illinois. specializing in Family Medicine Physician. The NPI Number for Unknown Individual is 1265431373

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1265431373
Phone
(618) 632-3565
Address
100 SPRINGFIELD CT
Deactivation Date
17 May 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 100 SPRINGFIELD CT

    O FALLON, IL 622692495

    Phone: (618) 632-3565

    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.

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 62269)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1265431373 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.
What kind of provider is Unknown Individual?
The page reflects Family Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface O Fallon, Illinois for Unknown Individual based on available NPPES addresses.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1265431373. Always confirm identity and privileges with the practice and licensing boards.

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