Unknown Individual – Primary Care Clinic/Center, NPI 1235596131

Unknown Individual is a healthcare provider. based in Sussex, Wisconsin. specializing in Primary Care Clinic/Center. The NPI Number for Unknown Individual is 1235596131

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1235596131
Phone
(414) 566-8400
Address
N64W23110 MAIN STREET
Deactivation Date
22 January 2021
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

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Provider Addresses for Unknown Individual

  • N64W23110 MAIN STREET

    SUITE 400

    SUSSEX, WI 53089

    Phone: (414) 566-8400

    Type: Mailing

  • 1230, Knowlton Street, Knowltons Corner, Northside, Cincinnati, Hamilton County, Ohio, 45223, United States

    CINCINNATI, OH 452231845

    Phone: (513) 591-5850

    Fax: (513) 591-5851

    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.

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 53089)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1235596131 — the number used across U.S. healthcare to identify this provider.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Primary Care Clinic/Center in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Sussex, Wisconsin as the reference point for Unknown Individual, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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