Unknown Individual – Urology Physician, NPI 1316941073

Unknown Individual is a healthcare provider. based in Palm harbor, Florida. specializing in Urology Physician. They hold a License No. ME44729 (FL). The NPI Number for Unknown Individual is 1316941073

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1316941073
Phone
(727) 771-0600
Address
35095 US HIGHWAY 19 N
Deactivation Date
1 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7277710600
Graduation Year
1979 (47 years ago)
PAC ID
2961595103
Group Practice PAC ID
2163653585
Professional Enrollment ID
I20080529000403
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

Provider Addresses for Unknown Individual

  • 35095 US HIGHWAY 19 N

    STE 202

    PALM HARBOR, FL 346841971

    Phone: (727) 771-0600

    Fax: (727) 781-9666

    Type: Location

  • 12109 COUNTY ROAD 103

    OXFORD, FL 344842951

    Phone: (352) 205-8981

    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 34684)

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Provider's Procedures

Unknown Individual performs procedures in Urology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYFL76872Ultrasound of rectum2218

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: 2163653585View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1316941073 in the public NPI dataset.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Urology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Palm Harbor, Florida in our summary view.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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