Unknown Individual – Podiatrist, NPI 1972569929

Unknown Individual is a healthcare provider. based in Portage, Michigan. specializing in Podiatrist. They hold a License No. 5901001113 (MI). The NPI Number for Unknown Individual is 1972569929

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1972569929
Phone
(269) 327-4447
Address
1508 WEST CENTRE STREET
Deactivation Date
4 December 2025
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

  • West Center Street, Windham, Windham Township, Portage County, Ohio, 44288, United States

    PORTAGE, MI 49024

    Phone: (269) 327-4447

    Fax: (269) 327-3120

    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 49024)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1972569929 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
How should patients interpret Unknown Individual's specialty?
The extract shows Podiatrist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Portage, Michigan in registry-derived data.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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