Unknown Individual – Orthopaedic Surgery of the Spine Physician, NPI 1053369918

Unknown Individual is a healthcare provider. based in Miami, Florida. specializing in Orthopaedic Surgery of the Spine Physician. They hold a License No. ME14156 (FL). The NPI Number for Unknown Individual is 1053369918

Main info

Organization
Inactive
60 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1053369918
Phone
(786) 624-5845
Address
PO BOX 557367
Deactivation Date
2 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5618445255
Graduation Year
1966 (60 years ago)
PAC ID
0648296103
Group Practice PAC ID
1456507698
Professional Enrollment ID
I20051024000591
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

  • The Light Box at Goldman Warehouse, 404, Northwest 26th Street, Wynwood, Miami, Miami-Dade County, Florida, 33127, United States

    MIAMI, FL 332557367

    Phone: (786) 624-5845

    Fax: (786) 624-2688

    Type: Mailing

  • Nicklaus Children's Hospital, 3100, Southwest 62nd Avenue, Miami-Dade County, Florida, 33155, United States

    ORTHOPAEDIC DEPT

    MIAMI, FL 331553009

    Phone: (305) 662-8366

    Fax: (305) 663-9194

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $984,184.

Total Amount is formed as General ($984,184) + Research ($0) + Ownership ($0) = $984,184.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Stryker Corporation ($944,880).

Total Amount

$984,184

General + Research + Ownership

Payments

26

Total payment records

General Amount

$984,184

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33255)

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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: 1456507698View full group profile
NameSpecialtyState
N E U R O S U R G E R YFL
Orthopedic SurgeryFL
Physical Therapist In Private PracticeKY
Physician AssistantFL
Orthopedic SurgeryFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physician AssistantFL
Physical Therapist In Private PracticeFL
Physician AssistantFL

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 1053369918 in the public NPI dataset.
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 is Unknown Individual's specialty?
The listing groups Unknown Individual with Orthopaedic Surgery of the Spine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Miami, Florida may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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