Unknown Individual – Endocrinology, Diabetes & Metabolism Physician, NPI 1902210636

Unknown Individual is a healthcare provider. based in Beavercreek, Ohio. specializing in Endocrinology, Diabetes & Metabolism Physician. The NPI Number for Unknown Individual is 1902210636

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1902210636
Phone
(937) 558-3077
Address
2510 COMMONS BLVD
Deactivation Date
8 July 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience10
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 2510 COMMONS BLVD

    SUITE 210

    BEAVERCREEK, OH 454313820

    Phone: (937) 558-3077

    Fax: (937) 558-3067

    Type: Mailing

  • 8701 OLD TROY PIKE

    STE 40A

    HUBER HEIGHTS, OH 454241066

    Phone: (937) 558-3077

    Fax: (937) 558-3067

    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.

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Medicare Enrollment & Revalidation

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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 45431)

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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 1902210636.
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.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Beavercreek, Ohio.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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