Unknown Individual – Internal Medicine Physician, NPI 1487644688

Unknown Individual is a healthcare provider. based in Royal oak, Michigan. specializing in Internal Medicine Physician. They hold a License No. 4301036025 (MI). The NPI Number for Unknown Individual is 1487644688

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1487644688
Phone
(248) 435-4462
Address
30701 WOODWARD AVE
Deactivation Date
23 October 2025
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

  • 30701, Woodward Avenue, Royal Oak, Oakland County, Michigan, 48073, United States

    STE S401

    ROYAL OAK, MI 480730987

    Phone: (248) 435-4462

    Fax: (248) 435-4094

    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 48073)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1487644688?
NPI 1487644688 belongs to Unknown Individual; compare other details if you need extra assurance.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Royal Oak?
Public fields place Unknown Individual around Royal Oak, 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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