Unknown Individual – Emergency Medicine Physician, NPI 1144273186

Unknown Individual is a healthcare provider. based in Bay pines, Florida. specializing in Emergency Medicine Physician. They hold a License No. OS8595 (FL). The NPI Number for Unknown Individual is 1144273186

Main info

Organization
Inactive
39 Years Of Experience
Name
Unknown Individual
NPI
1144273186
Phone
(727) 398-6661
Address
10000 BAY PINES BLVD
Deactivation Date
28 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8136815551
Graduation Year
1987 (39 years ago)
PAC ID
7911804323
Group Practice PAC ID
5193048387
Professional Enrollment ID
I20031215000561
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

  • Bay Pines, Pinellas County, Florida, United States

    BAY PINES, FL 33744

    Phone: (727) 398-6661

    Type: Location

  • 13505, Blythefield Terrace, The Country Club, Lakewood Ranch, Manatee County, Florida, 34202, United States

    LAKEWOOD RANCH, FL 342022451

    Phone: (941) 894-8903

    Type: Mailing

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 33744)

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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: 5193048387View full group profile

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1144273186 as the unique 10-digit identifier.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Bay Pines?
Public fields place Unknown Individual around Bay Pines, Florida. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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