Unknown Individual – Medical Physician Assistant, NPI 1316147929

Unknown Individual is a healthcare provider. based in Atlantis, Florida. specializing in Medical Physician Assistant. They hold a License No. MA002541L (PA). The NPI Number for Unknown Individual is 1316147929

Main info

Organization
Inactive
13 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1316147929
Phone
(561) 548-4900
Address
180 JFK DR STE 320
Deactivation Date
21 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4123573161
Graduation Year
2013 (13 years ago)
PAC ID
6305873076
Group Practice PAC ID
8729990239
Professional Enrollment ID
I20050725000565

Contacts

Secure Messaging
kimberly.burke@upmcdirect.com
Secure Messaging
KIMBERLY.MARTINO@hca4.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:0State licenses:2Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 180 JFK DR STE 320

    ATLANTIS, FL 334626641

    Phone: (561) 548-4900

    Fax: (561) 434-5165

    Type: Mailing

  • UPMC Presbyterian Hospital, 200, Lothrop Street, West Oakland, Pittsburgh, Allegheny County, Pennsylvania, 15213, United States

    PITTSBURGH, PA 152132536

    Phone: (412) 647-6485

    Type: Mailing

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 33462)

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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: 8729990239View full group profile
NameSpecialtyState
Anesthesiology, Critical Care (Intensivists)PA
-PA
-PA
Cardiac Surgery, General SurgeryPA
Nurse PractitionerPA
Nurse PractitionerPA
-PA
-MD
O B S T E T R I C S/ G Y N E C O L O G YPA
-SC

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1316147929.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Medical Physician Assistant for Unknown Individual. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Atlantis, Florida in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.