Unknown Individual – Adult Medicine Physician, NPI 1184964389

Unknown Individual is a healthcare provider. based in Columbus, Ohio. specializing in Adult Medicine Physician. They hold a License No. 35 030101 (OH). The NPI Number for Unknown Individual is 1184964389

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1184964389
Phone
(614) 258-7588
Address
750 EAST BROAD STREET SUITE 200
Deactivation Date
31 January 2022
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

Provider Addresses for Unknown Individual

  • 750 EAST BROAD STREET SUITE 200

    COLUMBUS, OH 43205

    Phone: (614) 258-7588

    Type: Mailing

  • 750 E BROAD ST STE 200

    COLUMBUS, OH 432051190

    Phone: (614) 258-7588

    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 43205)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1184964389 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Adult Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Columbus, Ohio because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1184964389. Always confirm identity and privileges with the practice and licensing boards.

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