Unknown Individual – Pediatrics Physician, NPI 1376562298

Unknown Individual is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in Pediatrics Physician. They hold a License No. 25MA05790800 (NJ). The NPI Number for Unknown Individual is 1376562298

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1376562298
Phone
(215) 590-1719
Address
3401 CIVIC CENTER BLVD
Deactivation Date
27 February 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Children's Hospital of Philadelphia, 3401, Civic Center Boulevard, University City, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States

    CHILDREN'S HOSPITAL OF PHILADELPHIA - NEUROLOGY

    PHILADELPHIA, PA 191044319

    Phone: (215) 590-1719

    Fax: (215) 590-1771

    Type: Location

  • 100, East Penn Square, Philadelphia, Philadelphia County, Pennsylvania, 19107, United States

    9TH FLOOR

    PHILADELPHIA, PA 191073323

    Phone: (267) 425-9234

    Fax: (267) 425-9299

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $230.

Total Amount is formed as General ($230) + Research ($0) + Ownership ($0) = $230.

Last reported payment date: 2023-09-21 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($116).

Total Amount

$230

General + Research + Ownership

Payments

2

Total payment records

General Amount

$230

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-21

Latest reported date

Top Companies

Largest payers in this snapshot

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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 19104)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1376562298.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Philadelphia, Pennsylvania. Check all listed addresses for suites or satellite offices.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.