Unknown Individual – Family Medicine Physician, NPI 1487668554

Unknown Individual is a healthcare provider. based in Winamac, Indiana. specializing in Family Medicine Physician. They hold a License No. 02001842A (IN). The NPI Number for Unknown Individual is 1487668554

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1487668554
Phone
(574) 946-3245
Address
222 S MONTICELLO ST
Deactivation Date
30 August 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

  • 222, South Monticello Street, Winamac, Pulaski County, Indiana, 46996, United States

    WINAMAC, IN 469961543

    Phone: (574) 946-3245

    Fax: (574) 946-3383

    Type: Location

  • 211, West Washington Street, Culver, Marshall County, Indiana, 46511, United States

    CULVER, IN 465111541

    Phone: (574) 842-2984

    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.

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.

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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 46996)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1487668554.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Winamac, Indiana?
If you are local to Winamac, Indiana, Unknown Individual may be relevant to your search.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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