Unknown Individual – Pediatric Adolescent Medicine Physician, NPI 1245236140

Unknown Individual is a healthcare provider. based in Flushing, Michigan. specializing in Pediatric Adolescent Medicine Physician. They hold a License No. NK035837 (MI). The NPI Number for Unknown Individual is 1245236140

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1245236140
Phone
(810) 659-2233
Address
1375 FLUSHING RD
Deactivation Date
10 June 2021
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

  • Flushing Road, Flushing, Bensalem Township, Bucks County, Pennsylvania, 19020, United States

    FLUSHING, MI 484332262

    Phone: (810) 659-2233

    Fax: (810) 659-2246

    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 48433)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1245236140 — the number used across U.S. healthcare to identify this provider.
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.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Pediatric Adolescent Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Michigan is Unknown Individual registered?
Use Flushing, Michigan as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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