Unknown Individual – Family Medicine Physician, NPI 1164513347

Unknown Individual is a healthcare provider. based in Narberth, Pennsylvania. specializing in Family Medicine Physician. They hold a License No. OS004123L (PA). The NPI Number for Unknown Individual is 1164513347

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1164513347
Phone
(610) 668-8727
Address
1216 MONTGOMERY AVE
Deactivation Date
24 September 2021
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

  • 1216, Montgomery Avenue, Narberth, Montgomery County, Pennsylvania, 19072, United States

    NARBERTH, PA 190721751

    Phone: (610) 668-8727

    Fax: (610) 667-2256

    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 19072)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1164513347 if you need a stable reference for Unknown Individual.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Narberth, Pennsylvania because that is what the record indicates for Unknown Individual.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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