Unknown Individual – Surgery Physician, NPI 1154329969

Unknown Individual is a healthcare provider. based in Merrillville, Indiana. specializing in Surgery Physician. They hold a License No. IN01030003 (IN). The NPI Number for Unknown Individual is 1154329969

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1154329969
Phone
(219) 688-5369
Address
7725 BROADWAY (NO LONGER VALID)
Deactivation Date
3 April 2024
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

  • 7725 BROADWAY (NO LONGER VALID)

    B1

    MERRILLVILLE, IN 464104787

    Phone: (219) 688-5369

    Type: Location

  • Schererville, Lake County, Indiana, 46375, United States

    SCHERERVILLE, IN 463750505

    Phone:

    Type: Mailing

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 46410)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1154329969 for Unknown Individual, then check state licensing separately.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Surgery Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Merrillville, Indiana as a primary anchor for Unknown Individual unless the record lists multiple sites.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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