Unknown Individual – Internal Medicine Physician, NPI 1124017074

Unknown Individual is a healthcare provider. based in Battle creek, Michigan. specializing in Internal Medicine Physician. They hold a License No. JA011504 (MI). The NPI Number for Unknown Individual is 1124017074

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124017074
Phone
(269) 965-8866
Address
181 EMMETT ST W
Deactivation Date
4 January 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

  • East Emmett Street, Battle Creek, Calhoun County, Michigan, 49016, United States

    BATTLE CREEK, MI 490372963

    Phone: (269) 965-8866

    Fax: (269) 965-4773

    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 49037)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1124017074 in the public NPI dataset.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Battle Creek, Michigan; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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Unknown Individual

Internal Medicine Physician
181, West Emmett Street, Battle Creek, Calhoun County, Michigan, 49037, United States
NPI: 1902868979