Unknown Individual – Physician Assistant, NPI 1790721181

Unknown Individual is a healthcare provider. based in Ann arbor, Michigan. specializing in Physician Assistant. They hold a License No. 001560 (MI). The NPI Number for Unknown Individual is 1790721181

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790721181
Phone
Not provided
Address
2000 GREEN RD
Deactivation Date
17 July 2024
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

  • Emergency Physicians Medical Group, 2000, Green Road, Ann Arbor, Washtenaw County, Michigan, 48105, United States

    SUITE 300

    ANN ARBOR, MI 481051598

    Phone:

    Type: Mailing

  • Biddle Subdivision, Wyandotte, Wayne County, Michigan, United States

    WYANDOTTE, MI 481924668

    Phone: (313) 284-9400

    Type: Location

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 48105)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1790721181 in the public NPI dataset.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Ann Arbor, Michigan may find Unknown Individual in results; validate coverage separately.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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