Unknown Individual – Sports Medicine (Family Medicine) Physician, NPI 1871559146

Sports Medicine (Family Medicine) Physician

Unknown Individual is a healthcare provider. based in Dayton, Ohio. specializing in Sports Medicine (Family Medicine) Physician. They hold a License No. 35.047658 (OH). The NPI Number for Unknown Individual is 1871559146

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1871559146

Phone

(937) 312-1661

Address

2350 MIAMI VALLEY DR

Deactivation Date

11 September 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

Provider Addresses for Unknown Individual

2350 MIAMI VALLEY DR
STE 320
DAYTON, OH 454594778
Phone: (937) 312-1661
Fax: (937) 312-1701
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.

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 45459)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?

Administrative and clinical systems typically use NPI 1871559146 for Unknown Individual.

Should I call the clinic if Unknown Individual is inactive here?

If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.

Which specialty label fits Unknown Individual?

NPPES ties Unknown Individual to Sports Medicine (Family Medicine) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.

What geographic area is tied to Unknown Individual?

Unknown Individual is associated with Dayton, Ohio in the same public data insurers reference.

Can I verify credentials using only NPI?

NPI confirms identity in the directory; licensure and board certification require separate checks.