Unknown Individual – Emergency Medicine Physician, NPI 1104050368

Unknown Individual is a healthcare provider. based in Cincinnati, Ohio. specializing in Emergency Medicine Physician. They hold a License No. 35-045558 (OH). The NPI Number for Unknown Individual is 1104050368

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104050368
Phone
(513) 624-9855
Address
7945 HOPPER RD
Deactivation Date
6 September 2023
Data current as of
20 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

  • 7945, Hopper Road, Chaswil Coldstream Farm, Asbury, Cincinnati, Anderson Township, Hamilton County, Ohio, 45255, United States

    CINCINNATI, OH 452554630

    Phone: (513) 624-9855

    Fax: (513) 624-9855

    Type: Mailing

  • 4700, East Filager Road, Batavia, Batavia Township, Clermont County, Ohio, 45103, United States

    BATAVIA, OH 451038910

    Phone: (513) 732-7526

    Type: Location

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 45255)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1104050368 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.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Ohio?
You will see Cincinnati, Ohio on file for Unknown Individual alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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