Unknown Individual – Rheumatology Physician, NPI 1487636619

Unknown Individual is a healthcare provider. based in Louisville, Kentucky. specializing in Rheumatology Physician. They hold a License No. 17722 (KY). The NPI Number for Unknown Individual is 1487636619

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1487636619
Phone
(502) 479-9700
Address
1169 EASTERN PKWY
Deactivation Date
6 October 2022
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

  • 1169, Eastern Parkway, Louisville, Jefferson County, Kentucky, 40217, United States

    STE 3451

    LOUISVILLE, KY 402171417

    Phone: (502) 479-9700

    Fax: (502) 479-9705

    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.

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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 40217)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1487636619 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Rheumatology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Louisville, Kentucky as the reference point for Unknown Individual, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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