Unknown Individual – Obstetrics & Gynecology Physician, NPI 1376549188

Unknown Individual is a healthcare provider. based in Troy, Michigan. specializing in Obstetrics & Gynecology Physician. They hold a License No. 4301022722 (MI). The NPI Number for Unknown Individual is 1376549188

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1376549188
Phone
(248) 816-9200
Address
3290 W BIG BEAVER RD
Deactivation Date
31 May 2023
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

  • 3290, West Big Beaver Road, Troy, Oakland County, Michigan, 48084, United States

    STE 444

    TROY, MI 480842914

    Phone: (248) 816-9200

    Fax: (248) 816-1017

    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 48084)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1376549188 — the number used across U.S. healthcare to identify this provider.
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 Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where in Michigan is Unknown Individual registered?
Use Troy, Michigan as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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