Unknown Individual – Endocrinology, Diabetes & Metabolism Physician, NPI 1316911738

Unknown Individual is a healthcare provider. based in Tampa, Florida. specializing in Endocrinology, Diabetes & Metabolism Physician. They hold a License No. ME117438 (FL). The NPI Number for Unknown Individual is 1316911738

Main info

Organization
Inactive
38 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1316911738
Phone
(813) 745-6392
Address
12902 USF MAGNOLIA DR
Deactivation Date
7 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8888602778
Graduation Year
1988 (38 years ago)
PAC ID
7113982422
Group Practice PAC ID
2264337021
Professional Enrollment ID
I20130925000538
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • H. Lee Moffitt Cancer Center, 12902, USF Magnolia Drive, Tampa, Hillsborough County, Florida, 33612, United States

    MOFFITT CANCER CENTER

    TAMPA, FL 336129416

    Phone: (813) 745-6392

    Fax: (813) 745-1433

    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 4 Open Payments records for all available years, with a total value of $8,280.

Total Amount is formed as General ($8,280) + Research ($0) + Ownership ($0) = $8,280.

Last reported payment date: 2023-10-10 • Largest payer in this snapshot: Lilly USA, LLC ($6,800).

Total Amount

$8,280

General + Research + Ownership

Payments

4

Total payment records

General Amount

$8,280

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$6,800
Eisai Inc.$1,480
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
99215Established patient office or other outpatient visit, 40-54 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 33612)

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Provider's Procedures

Unknown Individual performs procedures in Endocrinology, Diabetes & Metabolism Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ENDOCRINOLOGYFL76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1212

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: 2264337021View full group profile

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 1316911738.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Endocrinology, Diabetes & Metabolism Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Tampa, Florida in the same public data insurers reference.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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