Unknown Individual – Internal Medicine Physician, NPI 1174591655

Unknown Individual is a healthcare provider. based in Sheffield village, Ohio. specializing in Internal Medicine Physician. They hold a License No. 35.060425 (OH). The NPI Number for Unknown Individual is 1174591655

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1174591655
Phone
(440) 934-5454
Address
5334 MEADOW LANE CT
Deactivation Date
2 October 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

  • 5334, Meadow Lane Court, Sheffield, Lorain County, Ohio, 44035, United States

    SHEFFIELD VILLAGE, OH 440351469

    Phone: (440) 934-5454

    Fax: (440) 934-8999

    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.

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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 44035)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1174591655?
NPI 1174591655 belongs to Unknown Individual; compare other details if you need extra assurance.
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.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Sheffield Village?
Unknown Individual currently maps to Sheffield Village, Ohio 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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