Unknown Individual – Pulmonary Disease Physician, NPI 1154401412

Unknown Individual is a healthcare provider. based in Orlando, Florida. specializing in Pulmonary Disease Physician. They hold a License No. ME130009 (FL). The NPI Number for Unknown Individual is 1154401412

Main info

Organization
Inactive
42 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1154401412
Phone
(407) 266-3627
Address
3400 QUADRANGLE BLVD
Deactivation Date
17 May 2023

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4078824814
Graduation Year
1984 (42 years ago)
PAC ID
9830379825
Group Practice PAC ID
9739181470
Professional Enrollment ID
I20170404002387
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • UCF Health - East Orlando, 3400, Quadrangle Boulevard, Orlando, Orange County, Florida, 32817, United States

    ORLANDO, FL 328171492

    Phone: (407) 266-3627

    Fax: (407) 882-4799

    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 32817)

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Provider's Procedures

Unknown Individual performs procedures in Pulmonary Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASEFL90670Pneumococcal vaccine for injection into muscle1111
PULMONARY DISEASEFL94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration7774

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: 9739181470View full group profile
NameSpecialtyState
Internal Medicine, Cardiovascular Disease (Cardiology)NY
Endocrinology, Internal MedicineFL
Family PracticeFL
Physical Therapist In Private PracticeFL
-FL
Nurse PractitionerFL
Qualified Speech Language PathologistFL
Cardiovascular Disease (Cardiology), Internal MedicineFL
-FL
Qualified Speech Language PathologistFL

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1154401412.
Why is Unknown Individual marked inactive in the NPI directory?
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 Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Orlando, Florida may find Unknown Individual in results; validate coverage separately.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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