Unknown Individual – Gynecologic Oncology Physician, NPI 1033168547

Unknown Individual is a healthcare provider. based in Mountain brk, Alabama. specializing in Gynecologic Oncology Physician. They hold a License No. 19056 (AL). The NPI Number for Unknown Individual is 1033168547

Main info

Organization
Inactive
35 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1033168547
Phone
(205) 877-5100
Address
500 OFFICE PARK DR STE 400
Deactivation Date
23 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Secondary Phone
2054814511
Graduation Year
1991 (35 years ago)
PAC ID
0143283440
Group Practice PAC ID
1557265741
Professional Enrollment ID
I20041108000952
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

Provider Addresses for Unknown Individual

  • 500 OFFICE PARK DR STE 400

    MOUNTAIN BRK, AL 352232457

    Phone: (205) 877-5100

    Fax: (205) 803-4354

    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)

CMS reports 4 Open Payments records for all available years, with a total value of $69.

Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.

Last reported payment date: 2023-11-06 • Largest payer in this snapshot: Daiichi Sankyo Inc. ($69).

Total Amount

$69

General + Research + Ownership

Payments

4

Total payment records

General Amount

$69

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Daiichi Sankyo Inc.$69
View all Open Payments →|Open Payments Risk Radar →

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4140$0
99213Established patient office or other outpatient visit, 20-29 minutes1313$0
99204New patient office or other outpatient visit, 45-59 minutes1111$0
99205New patient office or other outpatient visit, 60-74 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 35223)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557265741View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YMS
Medical Oncology, HematologyAL
Medical Oncology, HematologyAL
Medical Oncology, HematologyAL
Medical Oncology, HematologyAL
-AL
General SurgeryAL
Surgical Oncology, Hematology/OncologyMN
Nurse PractitionerAL
Gynecological OncologyAL

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 1033168547 for Unknown Individual.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Gynecologic Oncology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Mountain Brk, Alabama?
If you are local to Mountain Brk, Alabama, Unknown Individual may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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