Unknown Individual – Internal Medicine Physician, NPI 1265402937

Unknown Individual is a healthcare provider. based in Westlake, Ohio. specializing in Internal Medicine Physician. They hold a License No. 35065291 (OH). The NPI Number for Unknown Individual is 1265402937

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1265402937
Phone
(440) 414-9400
Address
29325 HEALTH CAMPUS DR
Deactivation Date
5 April 2023
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

  • 29325, Health Campus Drive, Westlake, Cuyahoga County, Ohio, 44145, United States

    SUITE 3

    WESTLAKE, OH 441458201

    Phone: (440) 414-9400

    Fax: (216) 201-5591

    Type: Mailing

  • 7255, Old Oak Boulevard, Middleburg Heights, Cuyahoga County, Ohio, 44130, United States

    C-408

    MIDDLEBURG HEIGHTS, OH 441303329

    Phone: (440) 414-9500

    Fax: (216) 201-5591

    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.

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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 44145)

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Provider's Procedures

Unknown Individual performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEOH90670Pneumococcal vaccine for injection into muscle6261
INTERNAL MEDICINEOH93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report380223

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1265402937.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Westlake, Ohio.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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