Unknown Individual – Urology Physician, NPI 1053478453

Unknown Individual is a healthcare provider. based in Shaker heights, Ohio. specializing in Urology Physician. They hold a License No. 35 025358 (OH). The NPI Number for Unknown Individual is 1053478453

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053478453
Phone
(216) 464-4430
Address
44 LYMAN CIR
Deactivation Date
20 February 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

  • 44, Lyman Circle, Shaker Heights, Cuyahoga County, Ohio, 44122, United States

    SHAKER HEIGHTS, OH 441222116

    Phone: (216) 464-4430

    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.

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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 44122)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1053478453 if you need a stable reference for Unknown Individual.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Urology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Shaker Heights, Ohio for Unknown Individual; expand the address list for detail.
What if Shaker Heights, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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