Unknown Individual – Internal Medicine Physician, NPI 1528055415

Unknown Individual is a healthcare provider. based in Bloomfield hills, Michigan. specializing in Internal Medicine Physician. They hold a License No. 4301032742 (MI). The NPI Number for Unknown Individual is 1528055415

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1528055415
Phone
(248) 279-4074
Address
2565 NORWOOD RD
Deactivation Date
26 May 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

  • 2565, Norwood Road, Devonshire Downs, Bloomfield Hills, Oakland County, Michigan, 48302, United States

    BLOOMFIELD HILLS, MI 483021158

    Phone: (248) 279-4074

    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 48302)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1528055415.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Bloomfield Hills, Michigan?
If you are local to Bloomfield Hills, Michigan, Unknown Individual may be relevant to your search.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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