Unknown Individual – Aerospace Medicine Physician, NPI 1225003585

Unknown Individual is a healthcare provider. based in Jacksonville, Florida. specializing in Aerospace Medicine Physician. They hold a License No. 0101233847 (VA). The NPI Number for Unknown Individual is 1225003585

Main info

Organization
Inactive
25 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1225003585
Phone
(904) 542-3500
Address
NAVAL HOSPITAL JACKSONVILLE
Deactivation Date
3 January 2024

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
5404984900
Graduation Year
2001 (25 years ago)
PAC ID
9234393612
Group Practice PAC ID
9931357407
Professional Enrollment ID
I20120614000791
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

  • Naval Hospital Jacksonville, 2080, Child Street, Jacksonville, Duval County, Florida, 32214, United States

    2080 CHILD STREET

    JACKSONVILLE, FL 322140001

    Phone: (904) 542-3500

    Type: Location

  • Leatherwood Way, University Park, Irvine, Orange County, California, 92612, United States

    ORANGE PARK, FL 320655528

    Phone: (904) 406-2405

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $2,515.

Total Amount is formed as General ($2,515) + Research ($0) + Ownership ($0) = $2,515.

Last reported payment date: 2023-11-29 • Largest payer in this snapshot: Merz North America, Inc. ($2,393).

Total Amount

$2,515

General + Research + Ownership

Payments

21

Total payment records

General Amount

$2,515

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-29

Latest reported date

Top Companies

Largest payers in this snapshot

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making8282$0
99285Emergency department visit with high level of medical decision making5252$0
99283Emergency department visit with low level of medical decision making3131$0
99291Critical care, first 30-74 minutes1919$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1717$0
View full utilization report →

Insurance plans in this area (ZIP 32214)

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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: 9931357407View full group profile
NameSpecialtyState
-AZ

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1225003585 for Unknown Individual.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Aerospace Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Jacksonville, Florida in registry-derived data.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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