Unknown Individual – Pediatric Adolescent Medicine Physician, NPI 1922031798

Pediatric Adolescent Medicine Physician

Unknown Individual is a healthcare provider. based in Detroit, Michigan. specializing in Pediatric Adolescent Medicine Physician. They hold a License No. 4307031484 (MI). The NPI Number for Unknown Individual is 1922031798

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1922031798

Phone

(313) 255-2209

Address

22341 W 8 MILE RD

Deactivation Date

21 February 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

8 Mile Road, Detroit, Wayne County, Michigan, 48220, United States
DETROIT, MI 482191217
Phone: (313) 255-2209
Fax: (313) 255-0776
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 48219)

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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 1922031798.

Why is Unknown Individual marked inactive in the NPI directory?

The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.

What is Unknown Individual's primary classification?

Pediatric Adolescent Medicine Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.

Where should I expect Unknown Individual on a map?

Expect Detroit, 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.