Unknown Individual – Psychiatry Physician, NPI 1295984391

Unknown Individual is a healthcare provider. based in Bartow, Florida. specializing in Psychiatry Physician. They hold a License No. ME117618 (FL). The NPI Number for Unknown Individual is 1295984391

Main info

Organization
Inactive
18 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1295984391
Phone
(863) 519-0575
Address
PO BOX 1559
Deactivation Date
2 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9413466464
Graduation Year
2008 (18 years ago)
PAC ID
0648404194
Group Practice PAC ID
3779822119
Professional Enrollment ID
I20131016000865
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

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

Loading map...

Provider Addresses for Unknown Individual

  • PO BOX 1559

    BARTOW, FL 338311559

    Phone: (863) 519-0575

    Type: Mailing

  • 1239, Main Street, Bartow, Polk County, Florida, 33830, United States

    BARTOW, FL 338305058

    Phone: (863) 519-0575

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 33831)

Loading plans...

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: 3779822119View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1295984391.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Psychiatry Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Bartow, Florida because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1295984391. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

MOHAMMED JEEWA (MD)

Psychiatry Physician
Bartow Post Office, East Summerlin Street, Bartow, Polk County, Florida, 33830, United States
NPI: 1235125444

Unknown Individual

Psychiatry Physician
Bartow Post Office, East Summerlin Street, Bartow, Polk County, Florida, 33830, United States
NPI: 1467448357

DR. AHMAD G BIZRI (M.D.)

Psychiatry Physician
Bartow Post Office, East Summerlin Street, Bartow, Polk County, Florida, 33830, United States
NPI: 1477540110

WILLIAM SADOWSKY (MD)

Psychiatry Physician
Bartow Post Office, East Summerlin Street, Bartow, Polk County, Florida, 33830, United States
NPI: 1013982057

ANNETTE CASEY BARNES (M.D.)

Psychiatry Physician
1350, East Main Street, Cartersville, Bartow County, Georgia, 30121, United States
NPI: 1720015910
Bartow Post Office, East Summerlin Street, Bartow, Polk County, Florida, 33830, United States
NPI: 1720013295

JORGE J DORTA-DUQUE (M.D.)

Psychiatry Physician
5151 ADANSON ST
NPI: 1124053699
PO BOX 1559
NPI: 1659495216

CHARLES A BARRIOS (MD)

Psychiatry Physician
1835 GILMORE AVE
NPI: 1023232162