Unknown Individual – Internal Medicine Physician, NPI 1508934985

Unknown Individual is a healthcare provider. based in Lexington, Kentucky. specializing in Internal Medicine Physician. They hold a License No. 03243 (KY). The NPI Number for Unknown Individual is 1508934985

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1508934985
Phone
(859) 296-6100
Address
2312 Alexandria Dr
Deactivation Date
27 November 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 2312 Alexandria Dr

    Lexington, KY 405043229

    Phone: (859) 296-6100

    Fax: (859) 296-0362

    Type: Location

  • 135 WESTFIELD CT APT 1423

    CLARKSVILLE, TN 370402301

    Phone: (859) 940-7955

    Type: Mailing

  • Colonel Florence A Blanchfield Army Community Hospital, 650, Joel Drive, Clarksville, Montgomery County, Tennessee, 42223, United States

    FORT CAMPBELL, KY 422235318

    Phone: (270) 412-3775

    Type: Location

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.

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 40504)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1508934985 when you need to reference Unknown Individual in forms, claims, or directories.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
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.
Where does public data place Unknown Individual?
The snapshot lists Lexington, Kentucky for Unknown Individual; download NPPES for the complete set.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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