Unknown Individual – Pulmonary Disease Physician, NPI 1093767477

Unknown Individual is a healthcare provider. based in Mobile, Alabama. specializing in Pulmonary Disease Physician. They hold a License No. 10414 (AL). The NPI Number for Unknown Individual is 1093767477

Main info

Organization
Inactive
45 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1093767477
Phone
(251) 435-1200
Address
1700 SPRINGHILL AVE
Deactivation Date
3 July 2024

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
2512752810
Graduation Year
1981 (45 years ago)
PAC ID
5991790743
Group Practice PAC ID
2860399623
Professional Enrollment ID
I20040420000198
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

  • Springhill Avenue, Spring Hill, Mobile County Commission District 2, Mobile, Mobile County, Alabama, 36633, United States

    SUITE 100

    MOBILE, AL 366041407

    Phone: (251) 435-1200

    Fax: (251) 435-6357

    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 128 Open Payments records for all available years, with a total value of $2,161.

Total Amount is formed as General ($2,161) + Research ($0) + Ownership ($0) = $2,161.

Last reported payment date: 2024-08-16 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($525).

Total Amount

$2,161

General + Research + Ownership

Payments

128

Total payment records

General Amount

$2,161

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-16

Latest reported date

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes782220$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes26294$0
99214Established patient office or other outpatient visit, 30-39 minutes198137$0
71046X-ray of chest, 2 views138116$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes7669$0
View full utilization report →

Insurance plans in this area (ZIP 36604)

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Provider's Procedures

Unknown Individual performs procedures in Pulmonary Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASEAL36556Insertion of central venous catheter for infusion, patient 5 years or older3331
PULMONARY DISEASEAL83036Hemoglobin A1C level2721
PULMONARY DISEASEAL94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration4646
PULMONARY DISEASEAL94727Determination of lung volumes using gas dilution or washout4342

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: 2860399623View full group profile
NameSpecialtyState
Family PracticeAL
Nurse PractitionerAL
Critical Care (Intensivists), Pulmonary Disease, Internal Medicine, Critical Care (Intensivists), Pulmonary DiseaseMA
Family PracticeAL
Family PracticeAL
Nurse PractitionerMS
Nurse PractitionerME
Critical Care (Intensivists)MS
Internal MedicineMI
Internal MedicineAL

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1093767477 in the public NPI dataset.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Mobile, Alabama as a primary anchor for Unknown Individual unless the record lists multiple sites.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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