Unknown Individual – Vascular Surgery Physician, NPI 1992871255

Unknown Individual is a healthcare provider. based in Pontiac, Michigan. specializing in Vascular Surgery Physician. They hold a License No. 430025132 (MI). The NPI Number for Unknown Individual is 1992871255

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1992871255
Phone
(248) 332-0604
Address
44555 WOODWARD AVE
Deactivation Date
28 January 2022
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

  • Woodward Avenue, Pontiac, Oakland County, Michigan, 48342, United States

    SUITE 404

    PONTIAC, MI 483415031

    Phone: (248) 332-0604

    Fax: (586) 979-5037

    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 48341)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1992871255 as the unique 10-digit identifier.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Pontiac?
Unknown Individual currently maps to Pontiac, Michigan in this extract.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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