Unknown Individual – Surgery Physician, NPI 1023208444

Unknown Individual is a healthcare provider. based in Bradenton, Florida. specializing in Surgery Physician. They hold a License No. OS12224 (FL). The NPI Number for Unknown Individual is 1023208444

Main info

Organization
Inactive
20 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1023208444
Phone
(941) 254-4957
Address
5317 4TH AVENUE CIR E
Deactivation Date
17 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9543443000
Graduation Year
2006 (20 years ago)
PAC ID
0547430431
Group Practice PAC ID
5799881660
Professional Enrollment ID
I20130823001229
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

  • 4th Avenue Circle East, Bradenton, Manatee County, Florida, 34208, United States

    BRADENTON, FL 342085623

    Phone: (941) 254-4957

    Fax: (941) 254-4958

    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.

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 minutes17349$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4846$0
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Insurance plans in this area (ZIP 34208)

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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: 5799881660View full group profile
NameSpecialtyState
Vascular Surgery, General SurgeryFL
General SurgeryFL
General SurgeryFL
General SurgeryFL
Pain Management, Anesthesiology, Anesthesiology, Pain ManagementNY
Colorectal Surgery (Proctology)FL
General Surgery, Colorectal Surgery (Proctology)FL
General SurgeryFL
Internal Medicine, HospitalistFL
Physician AssistantIL

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1023208444 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
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 Surgery Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Bradenton, Florida for Unknown Individual; expand the address list for detail.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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