Unknown Individual – Audiologist, NPI 1124007455

Unknown Individual is a healthcare provider. based in Mitchell, Indiana. specializing in Audiologist. They hold a License No. 23002206A (IN). The NPI Number for Unknown Individual is 1124007455

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124007455
Phone
(812) 583-0285
Address
PO BOX 625
Deactivation Date
26 June 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

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Provider Addresses for Unknown Individual

  • PO BOX 625

    MITCHELL, IN 474460625

    Phone: (812) 583-0285

    Type: Mailing

  • 775, Waukegan Road, Deerfield, Illinois, 60015, United States

    SUITE 200

    DEERFIELD, IL 600154342

    Phone: (800) 317-0711

    Fax: (800) 434-7113

    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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92567Test to assess middle ear function555552$0
92557Comprehensive hearing and speech recognition test506505$0
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Insurance plans in this area (ZIP 47446)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1124007455.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Audiologist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Mitchell, Indiana; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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