Unknown Individual – Gastroenterology Physician, NPI 1225094584

Unknown Individual is a healthcare provider. based in West palm beach, Florida. specializing in Gastroenterology Physician. They hold a License No. ME0030765 (FL). The NPI Number for Unknown Individual is 1225094584

Main info

Organization
Inactive
56 Years Of Experience
Name
Unknown Individual
NPI
1225094584
Phone
(561) 832-1643
Address
1411 N FLAGLER DR
Deactivation Date
5 December 2024

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
-
Graduation Year
1970 (56 years ago)
PAC ID
6103014303
Professional Enrollment ID
I20110113000990
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

  • North Flagler Drive, West Palm Beach, Palm Beach County, Florida, 33407, United States

    #7800

    WEST PALM BEACH, FL 334013404

    Phone: (561) 832-1643

    Fax: (561) 820-9019

    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 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2023-08-15 • Largest payer in this snapshot: Theragen, Inc. ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Theragen, Inc.$25
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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33401)

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Provider's Procedures

Unknown Individual performs procedures in Gastroenterology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYFL45378Diagnostic examination of large bowel using an endoscope1919
GASTROENTEROLOGYFL82270Stool analysis for blood to screen for colon tumors3030

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1225094584.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in West Palm Beach, Florida?
For routing, start with West Palm Beach, Florida for Unknown Individual, then verify phone and hours locally.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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