Unknown Individual – Family Medicine Physician, NPI 1821338690

Unknown Individual is a healthcare provider. based in Roscommon, Michigan. specializing in Family Medicine Physician. They hold a License No. 4301023944 (MI). The NPI Number for Unknown Individual is 1821338690

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1821338690
Phone
(989) 275-5215
Address
PO BOX 545
Deactivation Date
28 January 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • PO BOX 545

    ROSCOMMON, MI 486530545

    Phone: (989) 275-5215

    Type: Mailing

  • 105 S. MAIN STREET

    SUITE 202

    ROSCOMMON, MI 486530545

    Phone: (989) 275-5215

    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 48653)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1821338690?
NPI 1821338690 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.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Roscommon, Michigan as the reference point for Unknown Individual, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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