Unknown Individual – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1164461398

Unknown Individual is a healthcare provider. based in Naples, Florida. specializing in Pain Medicine (Physical Medicine & Rehabilitation) Physician. They hold a License No. ME0061940 (FL). The NPI Number for Unknown Individual is 1164461398

Main info

Organization
Inactive
38 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1164461398
Phone
(239) 643-1070
Address
730 GOODLETTE RD N
Deactivation Date
17 January 2024

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
2062597511
Professional Enrollment ID
I20100709000156
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

  • Goodlette Road, Mariner's Cove, Naples, Collier County, Florida, 34102, United States

    STE 203

    NAPLES, FL 341025616

    Phone: (239) 643-1070

    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
99214Established patient office or other outpatient visit, 30-39 minutes641380$0
62323Injection of substance into lower spine canal using imaging guidance337252$0
20551Injection into tendon at attachment to bone or muscle224154$0
99213Established patient office or other outpatient visit, 20-29 minutes169119$0
76881Complete ultrasound scan of joint135123$0
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Insurance plans in this area (ZIP 34102)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1164461398.
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 healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Pain Medicine (Physical Medicine & Rehabilitation) Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Naples, Florida may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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