Unknown Individual – Gastroenterology Physician, NPI 1316974744

Unknown Individual is a healthcare provider. based in Saint cloud, Florida. specializing in Gastroenterology Physician. They hold a License No. ME35796 (FL). The NPI Number for Unknown Individual is 1316974744

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1316974744
Phone
(407) 843-0443
Address
2801 13TH ST
Deactivation Date
7 February 2024

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
3523238868
Graduation Year
1978 (48 years ago)
PAC ID
0941253686
Group Practice PAC ID
1850294612
Professional Enrollment ID
I20050302000411
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

  • 2801, 13th Street, Saint Cloud, Osceola County, Florida, 34769, United States

    SAINT CLOUD, FL 347694134

    Phone: (407) 843-0443

    Fax: (407) 847-0721

    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 5 Open Payments records for all available years, with a total value of $94.

Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.

Last reported payment date: 2024-02-07 • Largest payer in this snapshot: ABBVIE INC. ($59).

Total Amount

$94

General + Research + Ownership

Payments

5

Total payment records

General Amount

$94

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-07

Latest reported date

Top Companies

Largest payers in this snapshot

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
88305Pathology examination of tissue using a microscope, intermediate complexity9629$0
88313Special stained specimen slides to examine tissue including interpretation and report5916$0
99213Established patient office or other outpatient visit, 20-29 minutes4942$0
88312Special stained specimen slides to identify organisms including interpretation and report4216$0
99214Established patient office or other outpatient visit, 30-39 minutes3026$0
View full utilization report →

Insurance plans in this area (ZIP 34769)

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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 endoscope1312

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: 1850294612View full group profile
NameSpecialtyState
-FL
Gastroenterology, Internal MedicineFL
Nurse PractitionerFL
Gastroenterology, Internal MedicineFL
Certified Registered Nurse Anesthetist (Crna)DE
-FL
General Surgery, Thoracic SurgeryFL
G A S T R O E N T E R O L O G YFL

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1316974744.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Gastroenterology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Saint Cloud, Florida in registry-derived data.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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