Unknown Individual – Hematology & Oncology Physician, NPI 1114981222

Unknown Individual is a healthcare provider. based in Troy, Michigan. specializing in Hematology & Oncology Physician. They hold a License No. 35486 (MO). The NPI Number for Unknown Individual is 1114981222

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1114981222
Phone
(800) 527-6266
Address
1560 E MAPLE RD
Deactivation Date
15 April 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1560, East Maple Road, Troy, Oakland County, Michigan, 48083, United States

    SUTIE 400-CREDENTIALING

    TROY, MI 480831138

    Phone: (800) 527-6266

    Fax: (313) 576-8767

    Type: Mailing

  • Wertz Clinical Cancer Center, 4100, John R Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States

    KARMANOS CANCER CENTER

    DETROIT, MI 482012013

    Phone: (800) 527-6266

    Fax: (313) 576-8767

    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.

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 48083)

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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 1114981222 on file in the registry.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Troy, Michigan.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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