Unknown Individual – Gastroenterology Physician, NPI 1538109400

Unknown Individual is a healthcare provider. based in Fairhope, Alabama. specializing in Gastroenterology Physician. They hold a License No. 00008781 (AL). The NPI Number for Unknown Individual is 1538109400

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1538109400
Phone
(251) 279-4600
Address
188 HOSPITAL DR
Deactivation Date
27 October 2022

Doctor Profile

Medical School Name
UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1974 (52 years ago)
PAC ID
9537172929
Professional Enrollment ID
I20100226000482
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

  • 188, Hospital Drive, Fairhope, Baldwin County, Alabama, 36532, United States

    405

    FAIRHOPE, AL 365322043

    Phone: (251) 279-4600

    Fax: (251) 279-4601

    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)

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 36532)

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Provider's Procedures

Unknown Individual performs procedures in Gastroenterology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEAL43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope6262
EMERGENCY MEDICINEAL45385Removal of polyps or growths of large bowel using an endoscope4040

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1538109400.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Fairhope, Alabama because that is what the record indicates for Unknown Individual.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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