Unknown Individual – Internal Medicine Physician, NPI 1962502658

Unknown Individual is a healthcare provider. based in Huber heights, Ohio. specializing in Internal Medicine Physician. They hold a License No. 35-042664 (OH). The NPI Number for Unknown Individual is 1962502658

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1962502658
Phone
(937) 233-2055
Address
6251 GOOD SAMARITAN WAY
Deactivation Date
28 November 2024
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

  • Miami Valley Health Center, 6251, Miami Valley Way, Huber Heights, Montgomery County, Ohio, 45424, United States

    SUITE 210 B

    HUBER HEIGHTS, OH 454245253

    Phone: (937) 233-2055

    Fax: (937) 233-5479

    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 45424)

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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 1962502658 for Unknown Individual.
What should I verify if Unknown Individual is listed inactive?
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 Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Huber Heights, Ohio?
If you are local to Huber Heights, Ohio, Unknown Individual may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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