Unknown Individual – Hematology & Oncology Physician, NPI 1912974452

Unknown Individual is a healthcare provider. based in Dearborn, Michigan. specializing in Hematology & Oncology Physician. They hold a License No. 4301031165 (MI). The NPI Number for Unknown Individual is 1912974452

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1912974452
Phone
(313) 271-9010
Address
4900 MERCURY DR
Deactivation Date
18 June 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

  • Mercury Drive, Dearborn, Wayne County, Michigan, 48126-3445, United States

    SUITE 100

    DEARBORN, MI 481262947

    Phone: (313) 271-9010

    Fax: (313) 271-2965

    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

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 48126)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1912974452.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Dearborn?
Public fields place Unknown Individual around Dearborn, Michigan. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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