Unknown Individual – Otolaryngology Physician, NPI 1508847740

Unknown Individual is a healthcare provider. based in Farmington hills, Michigan. specializing in Otolaryngology Physician. They hold a License No. 4301041062 (MI). The NPI Number for Unknown Individual is 1508847740

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1508847740
Phone
(248) 865-4444
Address
30055 NORTHWESTERN HWY
Deactivation Date
14 August 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

  • 30055, Northwestern Highway, Farmington Hills, Southfield Township, Oakland County, Michigan, 48334, United States

    STE 101

    FARMINGTON HILLS, MI 483343230

    Phone: (248) 865-4444

    Fax: (248) 865-6161

    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)

CMS reports 19 Open Payments records for all available years, with a total value of $153,840.

Total Amount is formed as General ($153,840) + Research ($0) + Ownership ($0) = $153,840.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Medtronic, Inc. ($145,734).

Total Amount

$153,840

General + Research + Ownership

Payments

19

Total payment records

General Amount

$153,840

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$145,734
Gyrus ACMI, Inc.$8,106
View all Open Payments →|Open Payments Risk Radar →

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 48334)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1508847740; it appears in the national provider directory.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Farmington Hills, Michigan for Unknown Individual; download NPPES for the complete set.
What if Farmington Hills, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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