Unknown Individual – Internal Medicine Physician, NPI 1538260187

Unknown Individual is a healthcare provider. based in Fairhope, Alabama. specializing in Internal Medicine Physician. They hold a License No. 00010966 (AL). The NPI Number for Unknown Individual is 1538260187

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1538260187
Phone
(251) 928-8804
Address
3 MEDICAL PARK DRIVE
Deactivation Date
6 October 2023

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
2519288804
Graduation Year
1982 (44 years ago)
PAC ID
5092615922
Group Practice PAC ID
3375718042
Professional Enrollment ID
I20100809000639
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

  • 3 MEDICAL PARK DRIVE

    FAIRHOPE, AL 36532

    Phone: (251) 928-8804

    Fax: (251) 990-9379

    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 Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEAL82270Stool analysis for blood to screen for colon tumors1616

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: 3375718042View full group profile
NameSpecialtyState
Endocrinology, Internal MedicineFL
Pulmonary DiseaseAL
Internal MedicineAL
Pulmonary DiseaseAL
Pulmonary DiseaseAL
Nurse PractitionerAL
N E U R O L O G YAL
Internal MedicineAL
Family PracticeAL
Internal MedicineAL

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1538260187 for Unknown Individual, then check state licensing separately.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Fairhope, Alabama in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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