Unknown Individual – Interventional Pain Medicine Physician, NPI 1861406290

Interventional Pain Medicine Physician

Unknown Individual is a healthcare provider. based in Ann arbor, Michigan. specializing in Interventional Pain Medicine Physician. They hold a License No. 4301029507 (MI). The NPI Number for Unknown Individual is 1861406290

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1861406290

Phone

(734) 677-6000

Address

3120 PROFESSIONAL DR

Deactivation Date

26 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

3120, Professional Drive, Ann Arbor, Washtenaw County, Michigan, 48104, United States
ANN ARBOR, MI 481045131
Phone: (734) 677-6000
Fax: (734) 677-2422
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 48104)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?

NPI numbers are unique to each provider or organization — Unknown Individual uses 1861406290.

Why might Unknown Individual appear inactive while still practicing?

We display what the registry publishes: Unknown Individual appears inactive there.

What taxonomy line describes Unknown Individual?

For research purposes, treat Unknown Individual as Interventional Pain Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.

Where should I expect Unknown Individual on a map?

Expect Ann Arbor, Michigan as a primary anchor for Unknown Individual unless the record lists multiple sites.

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.