Unknown Individual – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1306803838

Unknown Individual is a healthcare provider. based in Mobile, Alabama. specializing in Sports Medicine (Orthopaedic Surgery) Physician. They hold a License No. 00013616 (AL). The NPI Number for Unknown Individual is 1306803838

Main info

Organization
Inactive
40 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1306803838
Phone
(251) 476-5050
Address
PO BOX 86144
Deactivation Date
17 July 2024

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
2514765050
Graduation Year
1986 (40 years ago)
PAC ID
6901913383
Group Practice PAC ID
2264331826
Professional Enrollment ID
I20111115000607
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

  • Tower Plaza Mobile Home Park, Alliance, Box Butte County, Nebraska, 69301, United States

    MOBILE, AL 366896144

    Phone: (251) 476-5050

    Fax: (251) 450-2770

    Type: Mailing

  • Mobile Orthopedic Group, 6144, Airport Boulevard, Winthrop Square, Mobile, Mobile County, Alabama, 36608, United States

    MOBILE, AL 366083143

    Phone: (251) 476-5050

    Fax: (251) 450-2770

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $144.

Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.

Last reported payment date: 2024-05-21 • Largest payer in this snapshot: Inari Medical, Inc. ($144).

Total Amount

$144

General + Research + Ownership

Payments

1

Total payment records

General Amount

$144

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$144
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
J7320Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg2,52519$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg965133$0
20610Aspiration and/or injection of fluid from large joint256145$0
99214Established patient office or other outpatient visit, 30-39 minutes209151$0
73562X-ray of knee, 3 views8867$0
View full utilization report →

Insurance plans in this area (ZIP 36689)

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Provider's Procedures

Unknown Individual performs procedures in Sports Medicine (Orthopaedic Surgery) Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYAL73110X-ray of wrist, minimum of 3 views1812
ORTHOPEDIC SURGERYAL73562X-ray of knee, 3 views269203
ORTHOPEDIC SURGERYAL73630X-ray of foot, minimum of 3 views2921

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: 2264331826View full group profile
NameSpecialtyState
Nurse PractitionerAL
Orthopedic SurgeryAL
Orthopedic SurgeryAZ
Physician AssistantAL
Orthopedic Surgery, Hand SurgeryAL
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Orthopedic SurgeryAL

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1306803838 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 Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Mobile, Alabama for Unknown Individual based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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