Unknown Individual – Pediatric Allergy/Immunology Physician, NPI 1124096367

Unknown Individual is a healthcare provider. based in Kalamazoo, Michigan. specializing in Pediatric Allergy/Immunology Physician. They hold a License No. 4301028222 (MI). The NPI Number for Unknown Individual is 1124096367

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124096367
Phone
Not provided
Address
1000 OAKLAND DR
Deactivation Date
17 January 2024
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

  • 1000, Oakland Drive, Kalamazoo, Kalamazoo County, Michigan, 49008, United States

    KALAMAZOO, MI 490081282

    Phone:

    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 49008)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1124096367?
NPI 1124096367 belongs to Unknown Individual; compare other details if you need extra assurance.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Pediatric Allergy/Immunology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Kalamazoo?
Public fields place Unknown Individual around Kalamazoo, Michigan. Always confirm the exact site before visiting.
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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