Unknown Individual – Internal Medicine Physician, NPI 1407859366

Unknown Individual is a healthcare provider. based in Jeffersonville, Indiana. specializing in Internal Medicine Physician. They hold a License No. 01029077 (IN). The NPI Number for Unknown Individual is 1407859366

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1407859366
Phone
(812) 282-4844
Address
1407 SPRING ST
Deactivation Date
30 October 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

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Provider Addresses for Unknown Individual

  • Spring Street, Jeffersonville, Clark County, Indiana, 40202, United States

    STE 1

    JEFFERSONVILLE, IN 471303748

    Phone: (812) 282-4844

    Fax: (812) 282-6248

    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 47130)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1407859366 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Indiana?
You will see Jeffersonville, Indiana on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1407859366. Always confirm identity and privileges with the practice and licensing boards.

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