Unknown Individual – Medical Physician Assistant, NPI 1851499339

Unknown Individual is a healthcare provider. based in Bloomington, Indiana. specializing in Medical Physician Assistant. They hold a License No. 10000292A (IN). The NPI Number for Unknown Individual is 1851499339

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1851499339
Phone
(812) 332-4468
Address
421 S LANDMARK AVE
Deactivation Date
10 June 2021
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

  • 421, South Landmark Avenue, Bloomington, Monroe County, Indiana, 47403, United States

    BLOOMINGTON, IN 474035003

    Phone: (812) 332-4468

    Fax: (812) 331-3311

    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 47403)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1851499339?
NPI 1851499339 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Indiana is Unknown Individual registered?
Use Bloomington, Indiana as the headline location for Unknown Individual here.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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