Unknown Individual – Internal Medicine Physician, NPI 1073591483
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
West Hillsboro Boulevard, Carver Heights, Deerfield Beach, Broward County, Florida, 33073, United States
SUITE A
DEERFIELD BEACH, FL 334429473
Phone: (954) 420-0886
Fax: (954) 420-0964
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)
CMS reports 25 Open Payments records for all available years, with a total value of $678.
Total Amount is formed as General ($678) + Research ($0) + Ownership ($0) = $678.
Last reported payment date: 2024-06-21 • Largest payer in this snapshot: Medtronic, Inc. ($185).
Total Amount
$678
General + Research + Ownership
Payments
25
Total payment records
General Amount
$678
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $185 |
| Novo Nordisk Inc | $179 |
| Amgen Inc. | $76 |
| Lilly USA, LLC | $70 |
| PFIZER INC. | $59 |
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 945 | 391 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 758 | 400 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 488 | 197 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 412 | 318 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 282 | 282 | $0 |
Insurance plans in this area (ZIP 33442)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | FL | 81002 | Urinalysis, manual test | 30 | 25 |
| INTERNAL MEDICINE | FL | 83036 | Hemoglobin A1C level | 50 | 44 |
| INTERNAL MEDICINE | FL | 85610 | Blood test, clotting time | 240 | 35 |
| INTERNAL MEDICINE | FL | 90670 | Pneumococcal vaccine for injection into muscle | 22 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| G A S T R O E N T E R O L O G Y | MA | |
| U R O L O G Y | IA |
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